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Small Fragment & Large FragmentApplication Notes for Straight Plates

Locking Compression Technology by aap

1

Small Fragment & Large FragmentApplication Notes for Straight Plates

Disclaimer

This surgical technique is exclusively intended for medical professionals, especially physicians, and the-

refore may not be regarded as a source of information for non-medical persons. The description of this

surgical technique does not constitute medical advice or medical recommendations nor does it convey

any diagnostic or therapeutic information on individual cases. Therefore, the attending physician is

fully responsible for providing medical advice to the patient and obtaining the informed consent of the

patient which this surgical technique does not supersede.

The description of this surgical technique has been compiled by medical experts and trained staff of

aap mplantate AG with utmost diligence and to the best of their knowledge. However, aap Implantate

AG excludes any liability for the completeness, accuracy, currentness, and quality of the information

as well as for material or immaterial damages arising from the use of this information.

Application NotesSmall Fragment & Large Fragment

aap Implantate AGLorenzweg 5 • 12099 Berlin • Germany

2

Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4• Material . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5

• Indications / Contraindications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5

• Processing (Sterilization & Cleaning) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6

• Implants Small Fragment 3.5 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7

• Implants Large Fragment 4.5 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8

Application Notes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9• Preoperative planning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9

• Preparing the plate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9

• Reduction and primary fixation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9

• Insertion of cortical screws (gold) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10

• Insertion of locking compression screws (red) without compression . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11

• Insertion of locking compression screws (red) with compression . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12

• Insertion of locking screws (blue) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .14

Explantation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .15

Assembly instructions compression drill guide . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .16

Implants & Instruments Small Fragment 3.5 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .17

Implants & Instruments Large Fragment 4.5 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .23

Case Studies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .28


3Application NotesSmall Fragment & Large Fragment

Content



4

Introduction

Since 1990, aap has been committed to providing innovative, high-quality and cost-effective solutions to meaningfully

improve daily experience of orthopedic surgeons and contribute to better patient outcomes.

LOQTEQ® anatomical locking plating system

combines the principles of bridging plate osteo-

synthesis and angle-stable interfragmentary

compression.

LOQTEQ® screws feature a unique combination

of a cone and a thread, which allows for angle-

stable interfragmentary fracture compression

with one screw, in one hole, in one surgical

step. The screw is gliding during tightening and

automatically safe locked in the plate hole.

In biomechanical testing against a leading com-

petitor, LOQTEQ® screw achieved double com-

pressive force and 2mm fracture compression

in a single screw hole.

LOQTEQ® plates have been engineered to provide stable mechanical fi-

xation, low hardware prominence and feature highly polished surface

for reduced soft-tissue ingrowth and ease of explantation.

LOQTEQ® system has been engineered with following features to faci-

litate surgeons comfort and improve the efficiency in the OR:

• Self-retaining screws

• Color-coded screws and instruments

• Easy-to-use, intuitive instrumentation

• Smart instruments for locking compression

• Aiming devices for precision drilling

• Set modularity

The straight plates feature minor contact undercuts to minimize the

contact surface and thereby may reduce the damage to the perio-

steum.

thread

cone

250%

200%

150%

100%

50%

0

Compressive Force

LOQTEQ®

Leading

competitor

2,5

2,0

1,5

1,0

0,5

0

Fracture compression

distance [mm]

LOQTEQ®

Leading

competitor

ne Step ne Hole ne Screw



Introduction

Material

The LOQTEQ® implants and instruments are manufactured using high-quality materials, which have been proven to be

successful in medical technology for decades. The anatomical plates and bone screws are made of titanium alloy.

All materials employed comply with national and international standards. They are characterized by good biocompatibility,

a high degree of safety against allergic reactions and good mechanical properties.

LOQTEQ® implants show an excellent highly polished surface.

Indications/Contraindications

Indications

LOQTEQ® Straight Plate 3.5 / LOQTEQ® Reconstruction Plate 3.5 / LOQTEQ® ¹∕³ Tubular Plate 3.5

• Fixation of fractures, osteotomies, and non-unions of the scapula, olecranon, humerus, radius, ulna,

distal tibia, and fibula, particularly in osteopenic bone.

LOQTEQ® Narrow Plate 4.5 / LOQTEQ® Broad Plate 4.5

• Fixation of various long bones, such as the humerus, femur and tibia. It is also for use in fixation

of osteopenic bone and fixation of non-unions or malunions.

Contraindications

• Acute and chronic osteomylitis at or close to the surgical field

• Infection or inflammation (localized or systemic);

• Allergies against the implant material;

• High anesthesia risk patients;

• Severe soft tissue swelling impacting normal wound healing

• Insufficient soft tissue coverage;

• Fractures in children and adolescents with epiphyseal plates not yet ossified

In addition, the success of the operation may also be compromised by:

• Patients not cooperating and those with neurological disorders who

do not wish to or cannot follow instructions given by their physician;

• Allergies against the implant material;

• Past history of medical disorders of or surgery on the extremity in question;

• Severe chronic or acute comorbidity (such as arthritis; osteoporosis; neurogenic and vascular disorders; etc.)

• Patients not able to adhere to the rehabilitation protocol and patients for whom

the success of the procedure seems unlikely (for instance, in case of dementia);

• Simple fractures of non-osteoporotic bone.

Please refer to the instructions for use for detailed information on contraindications.



6

Introduction

Processing (Sterilization & Cleaning)

The implants are supplied sterile and non-sterile.

Implants and instruments that are supplied in non-sterile condition must be sterilized before use.

For this purpose, please refer to the Instructions for Use that are enclosed with the plates, instruments, and trays.

Do not use (sterile) implants from damaged or open inner packaging.

Implant components that have come or might have come into contact with infectious fluids (e.g. blood) must not be

resterilized and reused in another surgery. They must be returned to the manufacturer. Resterilization is prohibited

under any circumstances (see Instructions for Use).



Introduction

titanium-grey

blue

blue

LOQTEQ® locking compression screw 3.5 angle stable

self-tapping

red

T15

For use in locking-

compression hole:

as angle stable screw

with/without compression

Twist drill (blue/red):

ø2.7

LOQTEQ® locking screw 3.5 with small head angle stable

self-tapping

blue

T15

With reduced head diameter

for use in round locking hole

Do not use in locking-

compression hole!


ø2.7

Cortical screw 3.5

self-tapping

gold

T15

For non-locking use in

locking-compression hole

and round hole


ø2.7

Implants (Small Fragment 3.5)

Straight Plates 3.5 locking-compression hole

glid

ing-

lock

ing

hole

roun

d-lo

ckin

g ho

le

glid

ing-

lock

ing

hole

roun

d-lo

ckin

g ho

le

Reconstruction Plate 3.5 round locking hole

1/3 Tubular Plate 3.5 round locking hole



8

Introduction

titanium-grey

titanium-grey

Straight plates 4.5 locking-compression, broad

Implants (Large Fragment 4.5)

Straight plates 4.5 locking-compression, narrow

LOQTEQ® locking compression screw 4.5

angle stable

self-tapping

red

T25

For use in locking-compression hole:

as angle stable screw with/

without compression

Twist drill (blue/red): ø3.8

Cortical screw 4.5

self-tapping

gold

T25

For non-locking use in locking-compression hole

Twist drill (no marking): ø3.2

glid

ing-

lock

ing

hole

glid

ing-

lock

ing

hole



Application Notes

The LOQTEQ® System includes many different plate types and can be used for treatment of a wide number of fracture

types. The primary focus of this surgical technique is the application of straight plates and does not deal with any

specific fracture type. Please refer to special literature for more specific fracture treatment options.

The novel combination of angular stability and compression in the straight plates and in the diaphyseal area of the

anatomical plates offers various fixation options to users:

• Interfragmentary compression with a locking screw

• Interfragmentary compression with a cortical screw

• Compression-free locking with a locking screw

• Compression-free fixation with a cortical screw

Surgical Technique

Preoperative planning• Evaluate the fracture type on the basis of the X-rays / CT and select

the appropriate plate length and screw positions.

Preparing the Plate• The straight plates may be contoured to individual patient anatomy.

The reconstruction plates feature bending elements to facilitate

the bending process. Use bending irons to contour the plates as

needed.

CauTION:

Observe the following while bending the plates:

• avoid repeatedly or excessively bending the plates

as it may result in implant failure.

• Bend the plate between the holes to prevent the loss of

locking function.

• avoid any sharp-edged damage by the instruments.

Reduction and primary fixation• For reduction and temporary fixation of the fragments place

K-wires or reduction forceps. Ensure that the K-wires will not

interfere with later plate positioning. If necessary, use lag screws

to secure intraarticular fragments.

INSTRUMENTS SMALL FRAGMENT ART.-NO.Bending iron 1 for small fragment plates, closed IP 8405-00Bending iron 2 for small fragment plates, closed IP 8405-50Drill guide for gliding hole LOQTEQ® 3.5, I-ø 2.8, red IU 8166-10Reduction sleeve for K-wire ø1.6 IU 8166-16K-wire with trocar point, ø1.6, L 180 NK 0016-18

INSTRUMENTS LARGE FRAGMENT ART.-NO.Drill guide for gliding hole LOQTEQ® 4.5, ID 3.9, red IU 8167-10Reduction sleeve for K-wire ø2.0 IU 8167-15K-wire with trocar point, ø2.0, L 250 NK 0020-25



10

• For inserting a non-locking cortical screw (gold) in a locking hole,

use the double drill guide in a neutral position, i.e. center in the

plate hole by applying slight pressure on the adjustable part. Drill

using a twist drill, determine the length of the screw using the depth

gauge, and insert a non locking cortical screw (gold) of the appro-

priate length.

NOTE:

If a combination of non-locking cortical screws (gold) and

locking compression screws (red) is used, non-locking cortical

screws (gold) must be inserted first.

• Check plate position using fluoroscopy and adjust if required.

Insertion of cortical screws (gold)

Application Notes

INSTRUMENTS SMALL FRAGMENT ART.-NO.Double drill guide, ø 2.7/3.5, with spring aided centering IU 8116-60Twist drill ø2.7, L 150, coil 50, quick coupling IU 7427-15Depth gauge for screws ø3.5 - 4.0, up to L 90 IS 7904-20Screwdriver Duo, T15, quick coupling IU 7825-56

INSTRUMENTS LARGE FRAGMENT ART.-NO.Double drill guide ø3.2/4.5, with spring aided centering IU 8117-50Twist drill ø3.2, L 195, coil 50, quick coupling IU 7432-30Depth gauge for screws ø4.5 - 6.5, up to L 100 IS 7905-20Handle with quick coupling, with torque limiter 3.5 Nm IU 7707-35



• Screw the drill guide (red) for gliding-locking holes into a plate

hole. Drill with the twist drill (blue / red) and remove the drill guide.

With the depth gauge, measure the screw length, insert a locking

compression screw (red) of the appropriate length and finally

tighten the screw with the torque limiter.

For this purpose, use only the enclosed screwdriver and finally

tighten the screw with the torque limiter. Optimal fixation is

reached once an audible click is heard.

NOTE:

as soon as the head of the screw reaches the plate hole it is

compulsory to switch to the torque limiter. In cases of very hard

bone in the diaphysis it is necessary to make sure that the screw

head is flush to the plate. Therefore, it is permissible in excep-

tionally hard bone of the diaphysis to finish the screw without

the torque limiter.

• For an optimal plate-to-screw connection, it is necessary to use

the drill guide (red) for gliding hole LOQTEQ® for the insertion of

locking screws. If the locking screw is inserted obliquely, the angu-

lar stability may be reduced.

NOTE:

For Small Fragment reconstruction and ¹∕³ tubular plates, use

locking screws with small heads (blue) ONLY in the intended

round locking holes (without compression).

For anatomical locking plates, please refer to the respective

surgical techniques.

Insertion of locking compression screws (red)without compression

Application Notes

INSTRUMENTS SMALL FRAGMENT ART.-NO.Twist drill ø 2.7, L 150, coil 50, quick coupling IU 7427-15Drill guide for gliding hole LOQTEQ® 3.5, I-ø 2.8, red IU 8166-10Depth gauge for screws ø3.5 - 4.0, up to L 90 IS 7904-20Handle with quick coupling, with torque limiter 2.0 Nm IU 7707-20Screwdriver Duo, T15, quick coupling IU 7825-56

INSTRUMENTS LARGE FRAGMENT ART.-NO.Twist drill ø3.8, L 180, coil 50, quick coupling IU 7438-18Depth gauge for screws ø4.5 - 6.5, up to L 100 IS 7905-20Handle with quick coupling, with torque limiter 3.5 Nm IU 7707-35Screwdriver Duo, T25, quick coupling IU 7835-56



12

Insertion of locking compression screws (red)with compression

Application Notes

INSTRUMENTS SMALL FRAGMENT ART.-NO.Basic insert for load drill guide LOQTEQ® 3.5 IU 8166-05Load drill guide LOQTEQ® 3.5, compression 1mm IU 8166-01Load drill guide LOQTEQ® 3.5, compression 2mm IU 8166-02Load drill guide LOQTEQ® 3.5, adjustable up to 2mm IU 8166-03

INSTRUMENTS LARGE FRAGMENT ART.-NO.Basic Insert for Load Drill Guide LOQTEQ® 4.5 IU 8167-05Load Drill guide LOQTEQ® 4.5, compression 1mm IU 8167-01Load Drill guide LOQTEQ® 4.5, compression 2mm IU 8167-02Load Drill guide LOQTEQ® 4.5, adjustable up to 2mm IU 8167-03

• For combined shaft fractures, the required fracture compression

can be achieved by inserting a non-locking cortical screw or

LOQTEQ® locking compression screw into the compression position.

• Screw the basic insert for load drill guide into a shaft hole near the

fracture line or, if necessary, above the fracture line. Choose a load

drill guide in accordance with the compression distance (1mm or

2mm) and position on the basic insert away from the fracture gap.

• Alternatively, the adjustable load drill guide can be used. The frac-

ture gap serves as orientation in setting the compression distance

(max. 2mm). For this purpose, turn the wheel of the load drill guide

until an appropriate gap forms in the upper part of the instrument

and position the drill guide on the basic insert for load drill guide

away from the fracture gap.

• Drill to the desired depth using a twist drill

and determine the depth with the depth

gauge.


13

Application Notes

INSTRUMENTS SMALL FRAGMENT ART.-NO.Twist drill ø2.7, L 150, coil 50, quick coupling IU 7427-15Depth gauge for screws ø3.5 - 4.0, up to L 90 IS 7904-20Screwdriver Duo, T15, quick coupling IU 7825-56Handle with quick coupling, with torque limiter 2.0Nm IU 7707-20Large handle, cannulated, quick coupling IU 7706-00


INSTRUMENTS LARGE FRAGMENT ART.-NO.Twist drill ø3.8, L 250, coil 50, quick coupling IU 7438-25Depth gauge for screws ø4.5 - 6.5, up to L 100 IS 7905-20Screwdriver Dou, T25,quick coupling IU 7835-56Handle with quick coupling, with torque limiter 3.5 Nm IU 7707-35Large handle, cannulated, quick coupling IU 7706-00

• Loosely insert a LOQTEQ® locking compression screw of the appro-

priate length with screwdriver and finally tighten the screw with

the torque limiter. Optimal fixation is achieved when an audible

click is heard.

NOTE:

Care should be taken to select the proper compression distance

(1 or 2mm). If the fracture gap is too small and the bone very

hard, excessive compression may prevent full locking of the

angle stable screw.

NOTE:

as soon as the head of the screw reaches the plate hole it is

compulsory to switch to the torque limiter. In cases of very hard

bone in the diaphysis it is necessary to make sure that the screw

head is flush to the plate. Therefore, it is permissible in excep-

tionally hard bone of the diaphysis to finish the screw without

the torque limiter.

• Alternatively, a non-locking cortical screw (gold) can be placed as a

compression screw. For this purpose, use the double drill guide in

offset position (do not apply pressure on the drill guide) and drill

using a twist drill.

• When all required screws have been inserted, perform final check

using fluoroscopy, AP and lateral, and close the wound.



14

Insertion of cortical screws (blue)

Application Notes

INSTRUMENTS ART.-NO.Twist drill ø2.7, L 150, coil 50, quick coupling IU 7427-15Drill guide for round hole LOQTEQ® 3.5, I-ø 2.8, blue IU 8166-20Screwdriver Duo, T15, quick coupling IU 7825-56Handle with quick coupling, with torque limiter 2.0Nm IU 7707-20Depth gauge for screws ø3.5 - 4.0, up to L 90 IS 7904-20Double drill guide, ø 2.7/3.5, with spring aided centering IU 8116-60

• Screw the drill guide (blue) for the round holes into a plate hole.

Drill with the twist drill (blue/red) and remove the drill guide.

Measure screw length using the depth gauge. Insert a round

locking hole screw (blue) using a screwdriver and a handle with

torque limiter.

3.5

only for Reconstruction Plate 3.5 and 1/3 Tubular Plate 3.5



NOTE:

Use the appropriate explantation screwdriver for a safe screw

removal. The explantation screwdrivers are not self-holding and

allow for higher torque transmission during screw removal. They

should be ordered separately.

The screwdriver in the set are self-holding and should not be

used for screw explantation.

• Place an incision on the old scar. Manually undo all screws and

sequentially remove them.

NOTE:

after manually unlocking all screws, the removal can be

performed using a power tool.

Explantation

INSTRUMENTS ART.-NO.Explantation screwdriver, T15/T25, round handle IU 7811-15/-25



16

Assembly instructions load drill guide

• The load drill guide facilitates setting a variable compression path.

It can be disassembled and reassembled in only a few steps.

N NOTE:

When ordering the adjustable load drill guide LOQTEQ® 3.5/4.5

(Iu 8166-03/Iu 8167-03), please add a screwdriver hexagonal

2.5 (Iu 7825-00) together with your order.

• Remove screws (item 4.1 and 4.2) using a

hexagonal screwdriver 2.5

• Unscrew the set screw (item 3)

• Pull the compression block apart (items 1 and 2)

• Fit together the compression block (items 1 and 2)

• Insert the set screw (item 3) into the compression block,

middle hole

• Insert the retaining screws (items 4.1 and 4.2)

using a hexagonal srewdriver 2.5

Disassembly

assembly

4.24.1

3

12

5

4.14.2 3

12



Implants & InstrumentsSmall Fragment 3.5



18

Plates Small Fragment 3.5Implants

LOQTEQ® Straight Plate 3.5

HOLES LENGTH(mm)

4 60 PG 3555-04-25 73 PG 3555-05-26 86 PG 3555-06-27 99 PG 3555-07-28 112 PG 3555-08-29 125 PG 3555-09-210 138 PG 3555-10-211 151 PG 3555-11-212 164 PG 3555-12-2

LOQTEQ® Reconstruction Plate 3.5

HOLES LENGTH(mm)

5 58 PR 3550-05-26 70 PR 3550-06-27 82 PR 3550-07-28 94 PR 3550-08-29 106 PR 3550-09-210 118 PR 3550-10-212 142 PR 3550-12-214 166 PR 3550-14-216 190 PR 3550-16-218 214 PR 3550-18-2

LOQTEQ® ¹⁄³ Tubular Plate 3.5

HOLES LENGTH(mm)

3 40 PG 3553-03-24 52 PG 3553-04-25 64 PG 3553-05-26 76 PG 3553-06-27 88 PG 3553-07-28 100 PG 3553-08-29 112 PG 3553-09-210 124 PG 3553-10-211 136 PG 3553-11-212 148 PG 3553-12-2

For ordering of the sterile plates please add „S“ to the article number, e.g. PG 3555-04-2S



Small Fragment 3.5 ScrewsImplants

LOQTEQ® Cortical Screw 3.5,small head, T15, self-tapping

L 12 SK 3526-12-2L 14 SK 3526-14-2L 16 SK 3526-16-2L 18 SK 3526-18-2L 20 SK 3526-20-2L 22 SK 3526-22-2L 24 SK 3526-24-2L 26 SK 3526-26-2L 28 SK 3526-28-2L 30 SK 3526-30-2L 32 SK 3526-32-2L 34 SK 3526-34-2L 36 SK 3526-36-2L 38 SK 3526-38-2L 40 SK 3526-40-2L 42 SK 3526-42-2L 45 SK 3526-45-2L 50 SK 3526-50-2L 55 SK 3526-55-2L 60 SK 3526-60-2L 65 SK 3526-65-2L 70 SK 3526-70-2L 75 SK 3526-75-2L 80 SK 3526-80-2L 85 SK 3526-85-2

LOQTEQ® Cortical Screw 3.5, T15,self-tapping

L 12 SK 3525-12-2L 14 SK 3525-14-2L 16 SK 3525-16-2L 18 SK 3525-18-2L 20 SK 3525-20-2L 22 SK 3525-22-2L 24 SK 3525-24-2L 26 SK 3525-26-2L 28 SK 3525-28-2L 30 SK 3525-30-2L 32 SK 3525-32-2L 34 SK 3525-34-2L 36 SK 3525-36-2L 38 SK 3525-38-2L 40 SK 3525-40-2L 42 SK 3525-42-2L 45 SK 3525-45-2L 50 SK 3525-50-2L 55 SK 3525-55-2L 60 SK 3525-60-2L 65 SK 3525-65-2L 70 SK 3525-70-2- -- -- -

Cortical Screw 3.5, T15, self-tapping

L 12 SK 3514-12-2L 14 SK 3514-14-2L 16 SK 3514-16-2L 18 SK 3514-18-2L 20 SK 3514-20-2L 22 SK 3514-22-2L 24 SK 3514-24-2L 26 SK 3514-26-2L 28 SK 3514-28-2L 30 SK 3514-30-2L 32 SK 3514-32-2L 34 SK 3514-34-2L 36 SK 3514-36-2L 38 SK 3514-38-2L 40 SK 3514-40-2L 42 SK 3514-42-2L 45 SK 3514-45-2L 50 SK 3514-50-2L 55 SK 3514-55-2L 60 SK 3514-60-2L 65 SK 3514-65-2L 70 SK 3514-70-2L 75 SK 3514-75-2L 80 SK 3514-80-2L 85 SK 3514-85-2



20

InstrumentsSmall Fragment 3.5

Bending iron 1 for small fragment plates, closed IP 8405-00Bending iron 2 for small fragment plates, closed IP 8405-50

Depth gauge for screws ø3.5 - 4.0, up to L 90 IS 7904-20

Large handle, cannulated, quick coupling IU 7706-00

Handle with quick coupling, with torque limiter 2.0Nm IU 7707-20

Screwdriver Duo, T15, quick coupling IU 7825-56

Twist drill ø2.7, L 150, coil 50, quick coupling IU 7427-15*Twist drill ø2.7, L 220, coil 50, quick coupling IU 7427-22*Twist drill ø3.5, L 110, coil 50, quick coupling IU 7435-00*

* For ordering single use drills please add „-1u“ to the article number (e.g. Iu 7427-15-1u)



InstrumentsSmall Fragment 3.5

Load Drill guide LOQTEQ® 3.5, compression 1mm IU 8166-01Load Drill guide LOQTEQ® 3.5, compression 2mm IU 8166-02Load Drill guide LOQTEQ® 3.5, adjustable up to 2mm IU 8166-03Basic insert for load drill guide LOQTEQ® 3.5 IU 8166-05

Double drill guide ø2.7/3.5, with spring aided centering IU 8116-60

Drill guide for gliding hole LOQTEQ® 3.5, I-ø 2.8, red IU 8166-10

Reduction sleeve for K-wire ø1.6 IU 8166-16

Drill guide for round hole LOQTEQ® 3.5, I-ø 2.8, blue IU 8166-20

K-wire with trocar point, ø1.6, L 180 NK 0016-18

Screw forceps, self-holding IU 8004-00



Implants & InstrumentsLarge Fragment 4.5



24

Plates Large Fragment 4.5Implants

For ordering of the sterile plates please add „S“ to the article number, e.g. PG 4555-04-2S

LOQTEQ® Narrow Plate 4.5

HOLES LENGTH(mm)

4 72 PG 4555-04-25 90 PG 4555-05-26 108 PG 4555-06-27 126 PG 4555-07-28 144 PG 4555-08-29 162 PG 4555-09-210 180 PG 4555-10-211 198 PG 4555-11-212 216 PG 4555-12-214 252 PG 4555-14-216 288 PG 4555-16-2

LOQTEQ® Broad Plate 4.5

HOLES LENGTH(mm)

6 115 PG 4556-06-27 133 PG 4556-07-28 150 PG 4556-08-29 168 PG 4556-09-210 186 PG 4556-10-211 204 PG 4556-11-212 222 PG 4556-12-214 257 PG 4556-14-216 293 PG 4556-16-218 328 PG 4556-18-2



Large Fragment 4.5 ScrewsImplants

LOQTEQ® Cortical Screw 4.5,T25, self-tapping

L 12 SK 4525-12-2L 14 SK 4525-14-2L 16 SK 4525-16-2L 18 SK 4525-18-2L 20 SK 4525-20-2L 22 SK 4525-22-2L 24 SK 4525-24-2L 26 SK 4525-26-2L 28 SK 4525-28-2L 30 SK 4525-30-2L 32 SK 4525-32-2L 34 SK 4525-34-2L 36 SK 4525-36-2L 38 SK 4525-38-2L 40 SK 4525-40-2L 42 SK 4525-42-2L 45 SK 4525-45-2L 50 SK 4525-50-2L 55 SK 4525-55-2L 60 SK 4525-60-2L 65 SK 4525-65-2L 70 SK 4525-70-2L 75 SK 4525-75-2L 80 SK 4525-80-2L 85 SK 4525-85-2L 90 SK 4525-90-2

Cortical Screw 4.5, T25, self-tapping

L 12 SK 4514-12-2L 14 SK 4514-14-2L 16 SK 4514-16-2L 18 SK 4514-18-2L 20 SK 4514-20-2L 22 SK 4514-22-2L 24 SK 4514-24-2L 26 SK 4514-26-2L 28 SK 4514-28-2L 30 SK 4514-30-2L 32 SK 4514-32-2L 34 SK 4514-34-2L 36 SK 4514-36-2L 38 SK 4514-38-2L 40 SK 4514-40-2L 42 SK 4514-42-2L 45 SK 4514-45-2L 50 SK 4514-50-2L 55 SK 4514-55-2L 60 SK 4514-60-2L 65 SK 4514-65-2L 70 SK 4514-70-2L 75 SK 4514-75-2L 80 SK 4514-80-2L 85 SK 4514-85-2L 90 SK 4514-90-2

For ordering of the sterile screws please add „S“ to the article number, e.g. SK 4525-12-2S



26

InstrumentsLarge Fragment 4.5

Depth gauge for screws ø4.5 - 6.5, up to L 100 IS 7905-20

Large handle, cannulated, quick coupling IU 7706-00

Handle with quick coupling, with torque limiter 3.5Nm IU 7707-35

Tap for cortical screws ø4.5, L 125 / 70 IU 7745-00

Screw forceps, self-holding IU 8004-00

Twist drill ø3.2, L 195, coil 50, quick coupling IU 7432-30*Twist drill ø3.8, L 180, coil 50, quick coupling IU 7438-18*Twist drill ø3.8, L 250, coil 50, quick coupling IU 7438-25*Twist drill ø4.5, L 145, coil 50, quick coupling IU 7445-00*

* For ordering single use drills please add „-1u“ to the article number (e.g. Iu 7432-30-1u)

Screwdriver Duo, T25, quick coupling IU 7835-56



InstrumentsLarge Fragment 4.5

Load drill guide LOQTEQ® 4.5, compression 1mm IU 8167-01Load drill guide LOQTEQ® 4.5, compression 2mm IU 8167-02Load drill guide LOQTEQ® 4.5, adjustable up to 2mm IU 8167-03Basic insert for load drill guide LOQTEQ® 4.5 IU 8167-05

Double drill guide ø3.2/4.5, with spring aided centering IU 8117-50

Drill guide for gliding hole LOQTEQ® 4.5, I-ø 3.9, red IU 8167-10

Reduction sleeve for K-wire ø2.0 IU 8167-15

K-wire with trocar point, ø2.0, L 250 NK 0020-25



28

Case StudiesForearm fracture (AO 22-A3)

Ulna shortening osteotomy

Preoperative Postoperative

Clinical case and CT images with the kind permission of Asklepios Clinic Weißenfels, Germany

Clinical case and CT images with the kind permission of University Hospital Gießen and Marburg, Germany

Preoperative Postoperative

Subject to technical modifications, errors and misprints.

© aap Implantate AGWP 4AH010 EN / 1608

Layout, typesetting: deSIGN graphic - Wolfram Passlack

Illustrations: Karen Hilberg

aap Implantate AGLorenzweg 5 • 12099 BerlinGermany

Phone +49 30 75019-0Fax +49 30 75019-111

[email protected]

aap Implantate AGLorenzweg 5 • 12099 BerlinGermany

Phone +49 30 75019-0Fax +49 30 75019-111

[email protected] (0

1)04042409364853(10)1608

WP 4AH010 EN

/1608