71180341 REV0.1 STAPLE SALES BROCH ENHAN DSGN FIX.Qxp

Advanced Design Fixation Staples Made for strong attachments Advanced concepts in staple design

Table Fixation Staples offer a variety of Osteotomy Fixation Staples can be used in applications including knee ligament repair, high tibial osteotomies to correct varus or valgus arthrodesis of the wrist and ankle, epiphyseal deformities, helping to retain cut surfaces in the growth arrest, ankle fracture, transplantation of the desired degree of apposition until healing occurs. tibial tubercle, avulsion of the Achilles tendon, triple Equal leg lengths help prevent malposition arthrodesis, and proximal humerus fractures. during insertion.

Smith & Nephew offers a complete family of fixation Underside spikes “tack down” rather than press staples with distinct design advantages. down, allowing better fixation of soft tissue and reducing the chances of necrosis. Tapered legs wedge into bone. Serrations that project from the legs (rather than The driving mechanism locks onto each staple to being cut into them) lock into hard bone and help prevent slippage. decrease chances of staple back-out. Cobalt chromium alloy (ASTM F-75). Regular Fixation Staples are especially useful in Krackow HTO Staples are very useful in high fixing soft tissue to bone including anterior tibial osteotomies and other applications where cruciate reconstruction. They are also useful for the combined benefits and improved rotational fragment fixation, tendon and ligament repair, and stability of a blade/staple are indicated. in controlling bone growth. Four sizes are Serrations in the inner blade help resist pullout. available, in regular or short lengths, with or without spikes.

Look to Smith & Nephew for all your stapling needs. For more information, contact your Smith & Nephew Representative, or call 1-800-238-7538. Implants and Instruments

Rims Instrument Tray Cat. No. 21-0900

Rims Staple Tray Cat. No. 11-5040 1 1 Polysulfone 10 /4” x 15 /2” (260 x 394 mm). This Rims Staple Tray is designed to contain the following:

Implants Instruments

8 each Fixation Staples - Large, 1 Cat. No. 11-1132 or 11-1138 Driver/ 1 Cat. No. 11-1127 Staple Hammer Medium, Small, X-Small (with/without Extractor (Fixation and Osteotomy Spikes, Standard/Short Leg) Staples) 1 Cat. No. 11-1129 Extension Rod

4 each Table Staples, Medium, Small 1 Cat. No. 11-1130 Driver/Extractor 1 Cat. No. 11-1168 Chisel (Krackow (Table and Krackow Staples) Staples)

8 Krackow HTO Blade Staples 1 Cat. No. 11-1137 Drill Jig (Fixation 1 Cat. 11-1169 Medial Chisel/Drill Guide Staples) (Krackow Staples)

6 Osteotomy Staples 1 Cat. No. 11-1136 Drill Jig (Table Staples) 1 Cat. No. 11-1170 Lateral Chisel/Drill Guide (Krackow Staples) Implants

Krackow HTO Blade Staple 12-8607 Lateral, 12mm offset 12-8608 Lateral, 14mm offset 12-8609 Lateral, 16mm offset 12-8610 Medial

Osteotomy Fixation 12-8673 5mm offset 12-8674 10mm offset 12-8675 14mm offset Implants continued

Fixation Staple with/without Spikes 12-8690 with Spikes X-Sm 12-8691 without Spikes X-Sm 12-8692 with Spikes Sm 12-8693 without Spikes Sm 12-8694 with Spikes Med 12-8695 without Spikes Med 12-8696 with Spikes Lg 12-8697 without Spikes Lg

Table Fixation Staple 12-8698 13mm 12-8699 16mm

Short Fixation Staple with/without Spikes 12-8720 with Spikes X-Sm 12-8721 without Spikes X-Sm 12-8722 with Spikes Sm 12-8723 without Spikes Sm 12-8724 with Spikes Med 12-8725 without Spikes Med 12-8726 with Spikes Lg 12-8727 without Spikes Lg

Features, Advantages & Benefits Fixation Staples Features Advantages Benefits Underside spikes Tacks down soft tissue Helps prevent slippage Tapered legs Wedges in bone Helps prevent pullout Serrated legs Locks in bone Helps prevent pullout Chrome cobalt material Strength Reduces leg bending Driving mechanism Locks on staple Helps prevent slippage

Krackow HTO Blade Staples Features Advantages Benefits Blade/staple design Improved rotational stability, Helps prevent slippage fixation Inner blade surface Resistance to pullout Helps prevent pullout

Leg serrations Resistance to pullout Helps prevent pullout

Driving mechanism Locks on staple Helps prevent slippage Instruments

Driver/Extractor Cat. No. 11-1130 Stainless 8” (203mm) long. Used with Krackow and Table Fixation Staples.

Angled Driver/Extractor Cat. No. 11-1132 3 Stainless Steel 8 /8” (213mm) long. Used with Regular, Short, and Osteotomy Fixation Staples.

Driver/Extractor Cat. No. 11-1138 1 Stainless Steel 9 /2” (241mm) long. Used with Regular, Short, and Osteotomy Fixation Staples.

Drill Jig Cat. No. 11-1136 Stainless Steel 7” (178mm) long. Used with Table Fixation Staples.

Cat. No. 11-1137 Stainless Steel 7” (178mm) long Used with Regular and Short Fixation Staples.

5 (Use /64” or 2.0mm Twist Drill for bone preparation to facilitate driving in hard bone and to help prevent bone splitting during staple insertion.)

Cat. No. 21-0439 Twist Drill 2.0mm x 127mm Instruments

Chisel Cat. No. 11-1168 Stainless Steel 6” (152.4mm) long. Used with either medial or lateral Chisel/Drill guide to perforate cortex (Krackow Staples).

Medial Chisel/Drill Guide Cat. No. 11-1169 1 Stainless Steel 6 /2” (165mm) long. Allows for perforation of medial 7 cortex with chisel and /64” Steinman Pin (Krackow Staples).

Lateral Chisel/Drill Guide Cat. No. 11-1170 1 Stainless Steel 6 /2” (165mm) long. Allows for perforation of lateral 7 cortex with chisel and /64” Steinman Pin (Krackow Staples).

Staple Hammer Cat. No. 11-1127 1 Stainless Steel 2 /2” (63.6mm) long. Fits over Extension Rod.

Extension Rod Cat. No. 11-1129 3 Stainless Steel 9 /4” (247.6mm) long. Fits into distal end of Driver/Extractor. Orthopaedics Smith & Nephew Inc. www.smith-nephew.com 1450 Brooks Road Memphis, TN 38116 USA