VariAx Foot Locked Plating System - Stryker Foot Locked Plating System • Comprehensive Locking and...

VariAx Foot LockedPlatingSystem

• Comprehensive Locking and Non-Locking System

• Polyaxial Locking

• Low Profile Plate Design

Operative Technique

The information contained in this documentis intended for healthcare professionals only.

Table of Contents

This Operative Technique sets forth detailed recommended procedures for using Stryker Osteosynthesis devices and instruments. It offers guidance that should be followed, but, as with any technical guide, each surgeon must consider the particular needs of each patient and make appropriate adjustments as required.

Note: The bone screws referenced in this operative technique are not approved for screw attachment or fixation to the posterior elements (pedicles) of the cervical, thoracic or lumbar spine.

1. Introduction 3

2. Overview 5

3. Indications and Contraindications 6

4. General Operative Technique 7

5. Ordering Information 16

�

Introduction

The VariAx Foot Locked Plating System represents a new generation of implant technology for foot surgery. The reconstruction and fixation of bones in the foot now can be accomplished using the SmartLock mechanism. This polyaxial locking technology allows a surgeon to configure a plate with variable angle locking and/or non-locking screws where the positioning of screws is based on the intra-operative requirements of a particular case, and not on the pre-existing design of the plate.

Comprehensive Locking and Non-Locking System Each VariAx Foot Plate Screw Hole incorporates patented SmartLock technology. As the locking screw is inserted into a screw hole, the Grade 5 titanium screw forms its own threads into the Grade 2 titanium plate. Each hole also accepts non-locking screws. With a single plate comes more options. The genius of SmartLock is its simplicity.

Polyaxial Locking SmartLock technology goes one step further. Every screw hole in the VariAx Foot Plates (except the compression slots) permits polyaxial screw placement. Locking screws can be angled up to 15º in each direction for a total range of 30º. Simply place the Polyaxial Drill Guide in the screw hole to select the appropriate angle. Each plate can accommodate a variety of locking or non-locking screws in various angles to allow you to adjust easily to the particular needs of each patient.

Low Profile Plate Design Each VariAx Foot Plate is low profile to minimize soft tissue irritation. The screw heads also are designed for minimal head prominence, even when inserted at angles up to 15º. This may further reduce the risk of soft tissue irritation.

�

Other Design Features• Compression and Locking in One Step The act of inserting a VariAx Foot

Screw into the oval compression hole creates compression by causing the screw to glide into the compression slot. If a locking screw is used, screw insertion, compression, and locking are combined into a single step.

• Unique One Step Locking After pre-drilling simply insert a

VariAx Foot Locking Screw in a round hole within the range of +/- 15º and fully tighten. No additional steps needed.

• Color Coding All VariAx Foot Instruments and

Screws are color coded for easy identification. Instruments have colored stripes to indicate size and mating pieces. The locking screws are anodized blue while the non-locking screws are anodized yellow.

• Anodization Type II Increases the strength of all VariAx

Foot Plates and may reduce the incidence of tissue adherence.

• Efficient T7 or T10 Screw Head Design All VariAx Foot Screws have either a

T7 (2.7mm screws) or T10 head (3.5mm screws). This design encourages efficient force transmission from the screwdriver to the screw and helps reduce the risks of screw head stripping.

• Two Dedicated Calcaneal Plate Configurations

The VariAx Foot Locked Plating System offers two distinct calcaneal plate options, with each incorporating a different philosophy. The Mesh design provides you with a low profile option that can be contoured easily and has multiple screw placement options. The Standard Plate is a robust design that still can be contoured easily to the superior surface of the calcaneus.

• Modular System Design The trays for the VariAx Foot Locked

Plating System utilize interchangeable modules to allow you to customize the contents of your tray to better meet your specific needs. Select the appropriate interchangeable modules to build in extra inventory of frequently used parts or to seamlessly integrate other components of the Stryker Foot Solutions portfolio.

�

Overview

Plate Options

H-Plate

Rectangular Plate

Broad Straight Plate

T-Plate Curved Plate

L-Plate

Oblique T-Plate

3-D Plate

Calcaneus Mesh PlateCalcaneus Standard Plate

3.5mm Locking

2.7mm Locking

3.5mm Non- Locking

2.7mm Non- Locking

�

Screw Options

Indications and Contraindications

The Stryker® Foot Plating System is intended for use in internal fixation, reconstruction or arthrodeses of small bones including the fore, mid- and hind foot and ankle. Examples of these procedures may include but are not limited to replantation, lag screw techniques, joint fusions, corrective osteotomies, and the treatment of fractures.

Examples of Applications• Metatarsal Phalangeal Joint (MPJ)

Arthrodesis, with or without interpositional bone graft

• Proximal Osteotomy of Metatarsals 1 - 5

• Lapidus Fusion• Lisfranc Arthrodesis• Isolated Lisfranc Arthrodesis,

Metatarsal Cuneiform Joint - Metatarsal Cuboid Joint (MCJ) 1 - 5

• Metatarsal Fractures• Talo-Navicular (TN) Arthrodesis• Calcaneal-Cuboid (CC) Arthrodesis• Calcaneal Fractures

Relative Contraindications• Inadequate bone quantity and quality• Patients with active infections• Patients with metal allergies and

foreign body sensitivity• Severely non-compliant patients with

mental or neurological conditions who are unwilling or incapable of following postoperative care instructions

• Patients with limited blood supply or insufficient quality or quantity of bone

• Patients with unstable physical and/or mental health conditions

The table below lists several common surgical foot indications, together with the VariAx Foot Implants that are suggested to treat these indications.

�

Implant

Examples of Applications

Cu

rved

Pla

te

Obl

iqu

e T

-Pla

te

3-D

Pla

te

Bro

ad S

trai

ght

Pla

te

Rec

tan

gula

r P

late

H-P

late

L-P

late

T-P

late

Cal

can

eus

Mes

h P

late

Cal

can

eus

Stan

dar

d P

late

MPJ Arthrodesis, with or without Interpositional Bone Graft

x x x x x x

Proximal Osteotomy of MT 1 - 5 x x x x

Lapidus Fusion x x x

Lisfranc Arthrodesis x x

Isolated Lisfranc Arthrodesis, MCJ 1-5 x x x x

Metatarsal Fracture x x x x x x

TN Arthrodesis x x

CC Arthrodesis x x

Calcaneal Fractures x x

General Operative Technique

Planning and PreparationClear identification and classification of the fracture, osteotomy, or fusion site should first be established preoperatively using the appropriate methods and visualization. Appropriate surgical incisions are performed to expose the implantation site, and an osteotomy can then be performed if necessary.

The Operative Technique detailed below is designed to provide a general overview on the instruments and procedure required to implant a VariAx Foot Plate.

Optional Joint Preparation in Metatarsophalangeal Arthrodesis using Coughlin Small Joint Reamers The convex phalangeal reamer is used to prepare a concave surface. The reamers are available in sizes 10-18mm, however, it is important that the same sized metatarsal and phalangeal reamers are used. A 1.4mm K-wire (45-80100 or 45-80200) is driven into the center of the proximal phalanx, and advanced approximately 1.5cm. The phalangeal reamer is placed over the K-wire, and the phalangeal surface is reamed creating a concave surface. The reamer and K-wire are then removed.

Please note: While the amount of reaming should be limited, be careful not to apply too much pressure to avoid unintended damage to the fusion surface.

A K-wire is then centered on the prepared metatarsal surface and driven in a proximal direction approximately 1.5cm. The same size cannulated hole saw is then placed on the K-wire, and the metatarsal metaphysis is reduced to a cylinder of constant dimension. The hole saw is removed, and debris and bone fragments are removed in a circumferential fashion. Adequate retraction of soft tissues is important throughout the joint preparation process. Finally, the same sized concave reamer is then used to prepare a convex surface to match the proximal phalanx.

Joint Alignment By creating cup-shaped surfaces, any desired alignment may be achieved. The desired alignment is typically valgus of 15° to 20° dorsiflexion of 20° to 30° (in reference to the metatarsophalangeal axis and neutral rotation). The cup-shaped surfaces allow any one of these dimensions to be changed without altering another dimension. (For example, rotation may be changed without affecting dorsiflexion or valgus.)

A plate from the VariAx Locked Plating System can then be placed on the dorsal aspect of the metatarsophalangeal joint utilizing the following operative technique.

�

General Operative Technique

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Stabilization, Provisional Plate PlacementEstablish primary stabilization of the fracture, osteotomy, or fusion site using the included 1.4mm K-Wires (45-80200).

VariAx Foot Plates can be removed from the plate tray and handled using the Forceps for Plate Pick-Up (64-20129). These forceps are designed to fit inside a single plate hole and hold the plate in place by expanding to make contact with the inner circumference of the hole.

Most VariAx Foot Plates include K-Wire holes that are designed to accommodate 1.4mm Trocar Tipped K-Wires for use in temporarily stabilizing the plates to bone.The K-Wire Cutting Pliers (45-80020) can be used to cut the K-Wires to the desired length. This instrument includes a silicon inlay which prevents the cut end of a K-Wire from being ejected from the instrument.

Although some VariAx Foot Plates are pre-contoured, additional contouring of the plates is possible using the Plate Bending Pliers (45-80010).

Please note: excessive bending may lead to failure of the locking mechanism, and is not recommended. The Plate Bending Pliers are designed to be used only in circular holes, and must not be used inside oval compression holes.

Plate Hole Configurations

Important:

1. Each screw hole in a VariAx Foot Plate is designed to be used with either a 2.7mm or a 3.5mm screw.These screws and holes are NOT interchangeable - a 3.5mm screw must not be used in a 2.7mm screw hole, and a 2.7mm screw must not be used in a 3.5mm screw hole.

2. Some VariAx Foot Plates include oval locking compression holes, which are designed to accommodate either a 2.7mm or a 3.5mm screw, but not both. These screws and holes are NOT interchangeable - a 3.5mm screw must not be used in a 2.7mm compression hole, and a 2.7mm screw must not be used in a 3.5mm compression hole.

The oval holes allow for the active compression of different bone segments along the long axis of an oval hole. In a compression hole, a drill hole can be created in an eccentric position in the part of the oval hole that has no lip. As the screw is tightened, the screwhead glides into the area of the hole that has a lip. If a locking screw is used, the screw can be inserted and locked into the plate in a single step.

2.7mm

3.5mm

compression hole

compression hole

no lip

no lip

lip

lip

�

A drill guide must first be placed into a corresponding plate screw hole in the plate prior to pre-drilling a pilot hole. The Drill Guide for Circular Locking Holes (45-80001) must be used in circular holes. This instrument has two ends: one end is designed only to be used when pre-drilling for 2.7mm screws (and is indicated with black lines), and the other end is designed only to be used when pre-drilling for 3.5mm screws (and is indicated by yellow lines). The drill guide is designed to limit drilling to a +/-15° angle with respect to the plate. Drilling at an angle greater than +/-15° may prevent locking from taking place and is not recommended.

If drilling through an oval compression hole, the Drill Guide for Oval Compression Holes (45-80005) must be used. This drill guide has two ends: one end is designed only to be used when pre-drilling for 2.7mm screws (indicated with black lines), and the other end is designed only to be used when pre-drilling for 3.5mm screws (indicated by yellow lines). This drill guide is marked showing an eccentric position of the drill hole with respect to the plate screw hole.

The VariAx Plate Design only allows for compression in a single direction, so the drill guide must be positioned such that the drill hole will be created on the side of the oval compression hole opposite the locking lip.

Note:Drill guides should always fit securely within a screw hole – a mismatch between the drill guide and the plate hole indicates that the wrong dimension drill guide has been chosen.

The Drill Guide for Oval Compression Holes must be placed at a 90° angle to the plate, and cannot be angulated.

Preparation for Screw Insertion

10

Use the appropriate twist drill to create a pilot hole through the drill guide. The twist drills are color coded to match the color associated with the drill guide: For 2.7mm screws, pre-drill with the 2.0mm Twist Drill (45-27010) and the 2.7mm Drill Guide (45-80001 black side). Both of these are color coded with matching black stripes for easy identification.

For 3.5mm screws, pre-drill with the 2.6mm Twist Drill (45-35010) and the 3.5mm Drill Guide (45-80001 yellow side). Both of these are color coded with matching yellow stripes.

Measure the depth of the predrilled hole using the appropriate depth gauge. For 2.7mm screw holes, use the Depth Measuring Gauge for 2.7mm Screws (45-27001). For 3.5mm screw holes, use the Depth Measuring Gauge for 3.5mm Screws (45-35001). As with the twist drills and drill guides, the depth gauges are color-coded with black or yellow lines (to be used to measure 2.7mm or 3.5mm screws, respectively). Always measure the depth of the predrilled hole by inserting the depth gauge first through the plate, and then into the predrilled hole. The sleeve of the depth gauge must be fully inserted into the respective plate hole prior to measuring. Failure to measure without a plate will result in a false reading.

Although the locking and non-locking screws found in the VariAx system are self-tapping, there may be certain circumstances when the use of a tap may be desired. For 2.7mm screw holes, use the Tap for 2.7mm Screws (45-27005), and for 3.5mm holes, use the Tap for 3.5mm Screws (45-35005).


11


Holding Sleeves for screws can be used to securely attach a screw to the screwdriver during screw insertion. There are separate Holding Sleeves for the 2.7mm Screws (45-27030) with black stripes and 3.5mm Screws (45-35030) with yellow stripes. Assemble the appropriate holding sleeve and slide it over the screwdriver until it engages, as shown.

Pull the holding sleeve back so that the tip of the screwdriver becomes visib-le. Insert the screwdriver tip into the head of the chosen screw, then push the Holding Sleeve forward, as shown. The holding sleeve will engage with the head of the screw, firmly holding it in place. The screw then can be removed securely from the screw rack, and the screw can be inserted into the plate.

Assemble the appropriate Screwdriver Blade (with AO fitting) with the Screw-driver Handle, AO (45-85000).

Please note: the black coded Screw-driver Blade, AO, T7 (45-27015) is used to insert 2.7mm screws, and yellow coded Screwdriver Blade, AO, T10 (45-35015) is used to insert 3.5mm screws.

To insert the Screwdriver Blade into the Handle, pull the AO quick connect sleeve back toward the handle, insert the Screwdriver Blade into the AO coupling, and release the sleeve. Tug lightly on the Blade to ensure engagement. If the blade pulls out, repeat this insertion procedure.

1�

Final Tightening

Screw Insertion

Insert the screw into the predrilled hole using the screwdriver assembly.

Prior to final tightening, as the screw head approaches the plate, draw the holding sleeve back from the screw head, and remove the screwdriver from the screw. Final tightening is not recommended until all desired screws have been provisionally inserted into a plate.

Repeat drilling, measuring, and placement of locking or non-locking screws in the remaining holes as desired. Always remember to use the appropriate sized drill guide.

Once all screws have been placed within the plate, final tightening is then performed.

Alternatively, a non-locking screw can be fully inserted provisionally to contour the plate to the bone. This screw can remain in place or be removed and replaced with a locking screw.

The highly efficient T7 interface (for 2.7mm screws) and T10 interface (for 3.5mm screws) facilitates effective transmission of torque from the screwdriver blade to the screw. Accordingly, applying excessive torque during screw insertion is not recommended, and may result in damage to the screwdriver blade.

1�

Final Tightening

To limit the the amount of torque that is applied during final tightening, we recommend using a “two finger technique”, as illustrated.

Gripping the handle firmly within the whole hand, as illustrated, is not recommended, as an excessive amount of torque can be applied.

Note:The screwdriver handle contains a switch which allows the metal and plastic segments of the handle to either independently rotate, or to be rigidly locked together. When performing final tightening, the switch on the screwdriver handle must be in the fully-locked position (in which the position of the switch is closest to the base of the handle).

Using two finger tightening, complete final tightening of all screws.

Please note that the screw head does not need to be completely flush with the plate to be securely locked. The screw will be securely locked within the plate by using the two finger tightening technique, as described above.

Note:Following final tightening, VariAx Locking Screws can be removed and repositioned at a different angle in the same hole up to a maximum of three times. Attempting to reposition a VariAx Locking screw in a hole that already has been locked three times is not recommended.

Verify proper placement of screws by use of fluoroscopy to ensure that there is no penetration of joint spaces.

1�

Optional: Washers

VariAx Foot Non-Locking Screws also can be used as independent implants separate from a plate. If desired, non-locking screws also can be used together with a washer, to increase the surface contact area between the head of a screw and bone.

For 3.5mm screws, use a Washer for 3.5mm Screws (40-35900), and for 2.7mm screws, use a Washer for 2.7mm Screws (40-27900).

1�

Notes

1�

Ordering Information

1�

REF Description

45-27005

45-35005

45-27001

45-35001

45-80001

45-80005

45-27015

45-35015

45-85000

45-35030

45-27030

45-80010

45-80020

64-20129

Tap for 2.7mm Screws, AO, 50mm

Tap for 3.5mm Screws, AO, 70mm

Depth Measuring Gauge for 2.7mm Screws

Depth Measuring Gauge for 3.5mm Screws

Drill Guide for Circular Locking Holes

Drill Guide for Oval Compression Holes

Screwdriver Blade, AO, T7

Screwdriver Blade, AO, T10

Screwdriver Handle, Revolving/Rigid, AO

Holding Sleeve for 3.5mm screws

Holding Sleeve for 2.7mm screws

Plate Bending Pliers

K-Wire Cutting Pliers (max 1.6mm)

Forceps with Grasping Jaws

Instruments

REF Description

45-80030

29-13462

Joint Distraction Forceps

Accessory Tray

Optional Instruments

1

1

1

1

1

1

2

2

2

1

1

2

1

1

1

1

1

1

1

1

2

2

2

1

1

2

1

1

Quantity per Basic Set

Quantity per Deluxe Set



0

optional

optional

optional


1�

29-35000

29-13009

29-35200

29-31400

29-31007

29-31000

29-31021

29-31022

29-31004

29-31005

29-31006

29-31050

29-31052

29-31053

29-50000

Sterilization Container, 3 levels

Sterilization Container, 4 levels

Stryker Foot Container Lid - Half Size

VariAx Foot Instrument Tray

Drawer for Screw Racks

Deluxe Plate Module

Inlay for Recon and Trauma Plates

Inlay for Calcaneus Plates

Screw Rack for 3.5 Locking Screws

Screw Rack for 3.5 Bone Screws

Screw Rack for 2.7 Screws

Basic Plate Module

Inlay 1 for Basic Plate Module

Inlay 2 for Basic Plate Module

Inlay Generic

REF Description

Modules And Trays

REF Description

45-80000

29-31013

29-31012

29-31051

Spring for Holding Sleeve

Lid for Screw Rack

Lid for Deluxe Plate Module

Lid for Basic Plate Module

Miscellaneous Quantity per Basic Set


1

0

1

1

0

0

0

0

0

0

0

1

1

1

0

0

1

1

1

1

1

1

1

1

1

1

0

0

0

1

0

0

0

0

0

0

0

0




REF Description

40-35610

40-35612

40-35614

40-35616

40-35618

40-35620

40-35622

40-35624

40-35626

40-35628

40-35630

40-35632

40-35634

40-35636

40-35638

40-35640

40-35642

40-35644

40-35646

40-35648

40-35650

40-35655

40-35660

40-35665

40-35670

Locking Screw, T10, 3.5x10mm

























�.�mm LOCKING SCREWS

5

5

5

5

5

5

5

5

5

5

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

4

4

4

4

4

4

4

4

4

4

4

4

4

4

4

4

4

4

4

4

4

4

4

4

4



REF Description

40-27608

40-27610

40-27612

40-27614

40-27616

40-27618

40-27620

40-27622

40-27624

40-27626

40-27628

40-27630

40-27632

40-27634

40-27636

40-27638

40-27640

40-27645

40-27650




















�.�mm LOCKING SCREWS

0

5

5

5

5

5

5

5

5

5

5

0

0

0

0

0

0

0

0

4

4

4

4

4

4

4

4

4

4

4

4

4

4

4

4

4

4

4



�0


REF Description

40-35010

40-35012

40-35014

40-35016

40-35018

40-35020

40-35022

40-35024

40-35026

40-35028

40-35030

40-35032

40-35034

40-35036

40-35038

40-35040

40-35042

40-35044

40-35046

40-35048

40-35050

40-35055

40-35060

40-35065

40-35070

Bone Screw, T10, 3.5x10mm

























�.�mm NON-LOCKING SCREWS

3

3

3

3

3

3

3

3

3

3

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

4

4

4

4

4

4

4

4

4

4

4

4

4

4

4

4

4

4

4

4

4

4

4

4

4



REF Description

40-27008

40-27010

40-27012

40-27014

40-27016

40-27018

40-27020

40-27022

40-27024

40-27026

40-27028

40-27030

40-27032

40-27034

40-27036

40-27038

40-27040

40-27045

40-27050




















�.�mm NON-LOCKING SCREWS

0

3

3

3

3

3

3

3

3

3

3

0

0

0

0

0

0

0

0

4

4

4

4

4

4

4

4

4

4

4

4

4

4

4

4

4

4

4



�1


6514-7-210

6514-7-212

6514-7-214

6514-7-216

6514-7-218

6514-7-310

6514-7-312

6514-7-314

6514-7-316

6514-7-318

6514-7-410

6514-7-412

6514-7-414

6514-7-416

6514-7-418

390164

3596-3-090

Concave

Concave

Concave

Concave

Concave

Convex

Convex

Convex

Convex

Convex

Barrel

Barrel

Barrel

Barrel

Barrel

K-Wire ø 1.6mm x 150mm, Trocar Point, Package 10 pcs

Wire with Thread ø 1.6mm x 230mm, Trocar Point, Individually Packaged

COuGHLIN SMALL JOINT REAMERS

CAT# TypeReamer Diameter mm

10

12

14

16

18

10

12

14

16

18

10

12

14

16

18

��

REF Description

40-35900

40-27900

Washer for 3.5mm screw

Washer for 2.7mm screw

WASHERS Quantity per Basic Set


5

5

10

10


4

4

2


2

2

REF Description

45-27010

45-35010

Drill, 2.0mm x 102mm, WL50mm, AO-Shaft

Drill, 2.6mm x 122mm, WL70mm, AO-Shaft

TWIST DRILLS Quantity per Basic Set

2

2

REF Description

45-80100

45-80200

45-80300

K-Wire, Fully Threaded, 1.6mm x 200mm

K-Wire, Smooth, 1.4mm x 100mm

Steinmann Pin, Smooth, 2.5mm x 100mm

K-WIRES & STEINMANN PINS Quantity per Basic Set

4

4

0


40-15011

40-15012

40-15013

40-15014

40-15021

40-15022

40-15023

40-15031

40-15032

40-15033

40-15041

40-15042

40-15043

40-15062

40-15061

40-15081

40-15072

40-15071

40-15092

40-15091

40-10102

40-10104

40-10106

40-10112

40-10114

40-10116

Curved Plate, 4 holes

Curved Plate, 5 holes, Right

Curved Plate, 5 holes, Left

Curved Plate, 6 holes

H-Plate, Small

H-Plate, Medium

H-Plate, Large

Rectangular Compression Plate, size 1

Rectangular Locking Plate, size 2

Rectangular Compression Plate, size 2

Broad Straight Plate, Short

Broad Straight Plate, Medium

Broad Straight Plate, Long

3-D Plate, Right

3-D Plate, Left

T-Plate

Oblique T-Plate, Right

Oblique T-Plate, Left

L-Plate, Right

L-Plate, Left

Calcaneus Mesh Plate, Small

Calcaneus Mesh Plate, Medium

Calcaneus Mesh Plate, Large

Calcaneus Standard Plate, Small

Calcaneus Standard Plate, Medium

Calcaneus Standard Plate, Large

REF Description

Plates

2

2

2

2

0

0

0

0

0

2

0

0

0

2

2

0

2

2

2

2

0

0

0

0

0

0

2

2

2

2

2

2

2

2

2

2

2

2

2

2

2

2

2

2

2

2

2

2

2

2

2

2



��

Biologics

Surgical Products

Neuro & ENT

Trauma, Extremities & Deformities

Biologics

Surgical Products

Neuro & ENT

Trauma, Extremities & Deformities

325 Corporate DriveMahwah, NJ 07430t: 201 831 5000

www.stryker.com

A surgeon must always rely on his or her own professional clinical judgment when deciding to use which products and/or techniques on individual patients. Stryker is not dispensing medical advice and recommends that surgeons be trained in orthopaedic surgeries before performing any surgeries.

The information presented is intended to demonstrate the breadth of Stryker product offerings. Always refer to the package insert, product label and/or user instructions before using any Stryker product. Products may not be available in all markets. Product availability is subject to the regulatory or medical practices that govern individual markets. Please contact your Stryker representative if you have questions about the availability of Stryker products in your area.

Stryker Corporation or its divisions or other corporate affiliated entities own, use or have applied for the following trademarks or service marks: Stryker, VariAx. All other trademarks are trademarks of their respective owners or holders.

Literature Number: LVXF-OT Rev. 2 MS/GS 1.8m 06/08

Copyright © 2008 Stryker Printed in USA

VariAx Foot Locked Plating System - Stryker Foot Locked Plating System • Comprehensive Locking and...

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Transcript of VariAx Foot Locked Plating System - Stryker Foot Locked Plating System • Comprehensive Locking and...