90-601-02-04_11_09_Faros_Recon

Page 1

Hand Surgery

FAROS Recon Locking Radial Plate System for Radial Reconstruction and for Radial and Ulnar Shortening


Our core competence is hand surgery, a field where we can offer you much more than just standard treatment solutions for, say, distal radial fractures. Many of our products are intended to help you to achieve outstanding results in difficult, non-everyday situations as well. Products such as our ulnar head prosthesis (UHP) or the Flower Plate for mediocarpal partial arthrodesis (4-corner fusion) are excellent examples of this. Our objective is to simplify hand surgery interventions through intelligent system solutions, helping you to achieve the best possible results in the interest of the patient. Working in close cooperation with well-known authors and their teams, we have translated new ideas into innovative products that are consistently being developed further in an ongoing process. The result is a wide range of high-quality systems that impress with their clever design along with easy and safe handling. And what’s more, we have never lost sight of the economic perspective and service needs of our customers. We consider ourselves as a true partner – to be relied upon for routine tasks and special challenges alike.


I N N O VAT I O N : s i mp l e , f a s t an d u s e r- f r i e n d ly

Table of Contents – FAROS Recon

System presentation

Pages:

4 – 5

Pages:

6 – 11

Form, advantage, benefit

FAROS C surgical technique For radial displacement osteotomy

URS mini surgical technique

Pages: 12 – 17

For radial and ulnar shortening

The product range

Pages: 18 – 29

Standard sets and options

3


D E S I G N : FA R O S R e c o n

Form, advantage and benefit

FAROS radial correction plates are innovative implants specially designed, in form as well as technique, for correcting the distal radius. Based on close collaboration with renowned hand surgeons, a plate system has been created that covers almost all of the treatment options available for radial corrections.

4


Advantages

Benefits

I

I

Easy handling

I

Safe screw implantation

I

Reduced socket rounding risk

T-Drive screw head

I

I

All screws of the system feature a T-Drive socket of identical size Self-retaining Excellent force transmission

Standard and locking screws I

I

Ø 2.7-mm and 3.5-mm standard screws

I

A small, self-explanatory selection of screws provides for safe bone stabilization in almost any situation

Ø 2.7-mm and 3.5-mm multidirectional locking screws

Faros C I

I

Plate design specially matched to radial correction needs Different holes to allow both standard screws and multidirectional locking screws to be used

I

I

Secure repositioning and fixation of the distal fragment Highly stable system for correct bone position throughout the healing process

URS mini I

I

I

Atraumatic plate design Round holes allowing the use of multidirectional locking screws Premounted drill guides and saw guides

I

I

I

Less soft tissue irritation Extremely stable implant, despite its small size Easy handling of the system thanks to exact orthogonal drilling and a parallel osteotomy creating smoothly cut surfaces

Dotize®: type II anodization I

(N)

1600

Fatigue Strength

1400 1200

1239

Increased strength, compared with titanium alloy

I

1072 I

1000 800

I

Smooth surface I

600 400 200 0

TI6AI4V non anodized

TI6AI4V anodized type II

I

Enables the use of plates with a relatively low profile Inhibits tissue adhesion and bone in-growth Supports easy removal of the metal implant Reduces rate of metalosis

5


S U R G I C A L T E C H N I Q U E : FA R O S C

FAROS C – Step by step to optimal fixation

Indications Palmar corrective osteotomy of malunited radial fractures of I

types A2/A3 acc. to AO classification

I

type A 3.2 acc. to AO classification

Preoperative planning Preoperative planning of corrective osteotomies requires X-rays taken in the A/P and sagittal planes. The sagittal X-rays are used to draw sketches of the planned osteotomy (see next page).

6


Correction in the sagittal plane Actual situation: -22° Target: +10° ➛ Correction angle: 32° ➛ Bisector: 16°

10°

Intended joint position

10°

10°

22°

32° 16° 16°

Osteotomy

Osteotomy

16°

32° dorsal

palmar

dorsal

palmar

Fig. 1:

Fig. 2:

The dorsal tilt of the radial joint surface (here: 22°) is determined by way of a lateral X-ray. The result is then compared with the palmar inclination (here: 10°) of the non-injured side to define the desired joint position. The correction angle (here: 32°) is equivalent to the sum total of both angles (dorsal tilt plus intended palmar inclination).

Proximally, the distally fixed plate stands off from the shaft of the radius at the same angle as determined for the malposition. This ensures that, following osteotomy, the shaft of the plate adapts snugly to the shaft of the radius as soon as the desired joint position is reached when opening the osteotomy.

Advantageously, the osteotomy angle (here: 16°) is identical with the bisector of the correction angle.

7


S U R G I C A L T E C H N I Q U E : FA R O S C

25°

25° 3.5 mm

16°

16° 4.5°

3.5 mm

4.5°

3.5 mm

4.5°

Fig. 3:

Fig. 4:

Fig. 5:

Ulnar inclination correction: Actual situation: +16° Target: +25° ➛ Correction angle: 9.0° ➛ Bisector: 4.5°

The required ulnar height of the bone block depends on ulnar feed.

X-ray example of a shortened and dorsally tilted radius. The erosion of the lunate caused by the traumatic ulnar impaction syndrome is clearly visible.

To determine the correction and osteotomy angles for ulnar inclination, a sketch is drawn as well. The AP X-ray of the non-injured side provides the reference value for the intended ulnar inclination (here: 25°). The correction angle (here: 9°) is then calculated as the difference between the targeted ulnar inclination and the flattened ulnar inclination (here: 16°) of the injured side. Conveniently again in this case, the osteotomy angle (here: 4.5°) corresponds to the bisector of the correction angle.

Surgical technique: Dr. Prommersberger (M.D., P.D.), Bad Neustadt (Germany)

8


Fig.6:

Fig. 7:

Fig. 8:

Radiopalmar approach: A Y-shaped skin incision approx. 7 cm long is made on the distal radius.

The first extensor tendon compartment is opened.

After opening the third extensor tendon compartment, the extensor pollicis longus tendon is lifted.

9


S U R G I C A L T E C H N I Q U E : FA R O S C

Fig. 9:

Fig. 10:

Fig. 11:

The brachioradial muscle is partially detached at the point of insertion. Thereafter, the quadrate pronator muscle is pushed off the radius towards ulnar together with the long flexor muscle of the thumb and the radial artery.

A radial plate of correct size is selected. To facilitate plate positioning, the drill-bit centering sleeve (26-276-03-07) can be mounted in advance to serve as a joystick.

Once all distal screws have been placed, the planned osteotomy is marked out and the plate removed.

To provide a smooth contact surface for the plate, it is usually necessary to ablate the palmar edge of the first extensor tendon compartment.

The plate is now attached to the radius. Using the centering sleeve, the holes for the 2.7-mm locking screws (26-502-xx-09) are drilled with the 2.0-mm bit (26-937-20-07). Each screw is inserted with the screwdriver before drilling the next hole.

The osteotomy site is located proximally to the distal, locking screw holes, in the bisector of the planned correction angle in both planes. The osteotomy is performed as sketched, using an oscillating saw.

This step requires:

Centering Drill bit, Non-cannulated sleeve, 2.0 mm 2.0 mm depth gauge

10

T-Drive screwdriver


Fig. 12:

Fig. 13:

Fig. 14:

Upon completion of the osteotomy, the plate is again fitted to the radius distally. Subsequently, the osteotomy gap is widened to cause the plate shaft to attach to the shaft of the radius. If necessary, plate-holding forceps can be used for provisional fixation of the plate in the proximal region.

The bone chip is inserted into the osteotomy gap. A 3.5-mm lag screw can be used to fix it securely in place.

After irrigating and cleaning the wound, the capsule and the ligament structures are carefully restored. A final X-ray is then taken.

Notice: To harvest the bicortical bone chip from the iliac crest, for example, the large iliac crest mill (23-190-06-07) can be used.

Finally, the patient is provided with a sterile dressing and a dorsal forearm plaster splint.

The length of the osteotomy gap is now correctly adjusted under X-ray control and the plate fixed in place in the proximal region using 3.5-mm screws.

This step requires:

Centering 2.0-mm Non-cannulated sleeve, 2.0 mm drill bit depth gauge

2.5-mm drill bit

3.5-mm gliding hole bit

11


SURGICAL TECHNIQUE: URS mini

URS mini – Step by step to optimal fixation

Indications I

Ulnar impaction syndrome

I

Radial impaction syndrome

Notice: When shortening the radius, the plate is preferably inserted by using a radiopalmar (alternatively: dorsal) approach. The osteotomy is performed orthogonally to the plate. As no lag screw is required in this case, the 6-hole plate version (26-163-06-09) is sufficient. No saw guide is used in this procedure.

12


Preoperative planning Preoperative planning is carried out by X-rays taken in the A/P and lateral beam paths.

Positioning The patient is placed on the back with the upper arm exsanguinated. The arm is placed on a hand table, with the forearm in full supination position.

13


SURGICAL TECHNIQUE: URS mini

Fig. 1:

Fig. 2:

Fig. 3:

X-ray example of an ulnar impaction syndrome.

Ulnopalmar approach: A skin incision approx. 8 cm long is made over the distal ulna.

The incision is then continued between the flexor and extensor muscles through the intermuscular septum. This is followed by exposure of the ulna, with the quadrate pronator muscle being carefully pushed off the bone in the distal section of the ulna.

Such ulnopalmar access provides for secure soft-tissue coverage of the plate.

Surgical technique: Prof. Krimmer, Ravensburg (Germany)

14


1

3

4

2

Fig. 4:

Fig. 5:

Fig. 6:

Once the ulna has been completely exposed, the shortening plate is put in place along the inner edge on the palmar side, approx. 3 cm away proximally from the distal end.

Using the premounted drill sleeves, the holes for the 2.7-mm screws are now drilled with the 2.0-mm bit (26-937-20-07).

After the holes have been drilled, the sleeves are removed with the screwdriver. This is followed by length measurement using the universal depth gauge (26-945-60-07).

Notice: If the plate does not rest flatly on the bone in this area, precise adaptation to the ulnar surface will be necessary in order to prevent plate tilting after the osteotomy. Plate adaptation is done with the bending pliers (25-229-25-07).

Note that the three distal holes are to be filled with locking (fixed-angle) screws (26-502-xx-09), whereas the (elongated) proximal holes are intended for standard screws (26-901-xx-09).

Thereafter, the screws are inserted in the sequence shown above, starting monocortically.

This step requires:

Bending pliers

2.0-mm drill bit

Non-cannulated depth gauge

15


SURGICAL TECHNIQUE: URS mini

m 5 .1 ax m m max. 0,5 mm

.4 ca

0

m

m

Fig. 7:

Fig. 8:

Fig. 9:

Depending on the width of the intended osteotomy, the appropriate saw guide (3 mm, 4 mm or 6 mm) is selected and placed underneath the plate as shown above. As this requires lifting the plate slightly, it may be necessary to loosen the screws a little.

The saw guide enables you to perform a parallel osteotomy directly below the 4th distal hole.

Upon removing the parallel, corticocancellous bone chip, the 3rd distal, 2.7-mm locking screw (26-502-xx-09) is inserted as well and screwed in place bicortically together with the other distal screws.

Notice: The fixing grooves of the saw guide are placed in the 3rd distal hole and on the distal edge of the central elongated hole. To assure stable fixation of the saw guide during the sawing process, the screws must be retightened.

To make sure that the finely toothed saw blade can oscillate freely within the guide slots, it should be dimensioned as follows: I I I

Thickness: max. 0.5 mm Width: max. 15 mm Length: approx. 40 mm

Upon completion of the osteotomy, the screws are loosened a little again to remove the saw guide.

Thereafter, the osteotomy gap is closed by pulling the plate with the blunt hooklet (15-075-01-07). To assure complete closure of the osteotomy gap, ulnar duction of the wrist may be necessary in addition.

This step requires:

2.5-mm drill bit

16

Hooklet, blunt


Fig. 10:

Fig. 11:

Fig. 12:

To fix the osteotomy closure, the two proximal screws are now tightened in their elongated holes. Then the central proximal hole is drilled with the 2.0-mm bit (26-937-20-07) and filled with a 2.7-mm locking screw (26-502-xx-09).

The remaining elongated hole above the osteotomy is filled with a 2.7-mm standard screw for additional stability, using the lag screw technique. The required hole is created with the 2.0-mm drill bit (26-937-20-07) and the 2.7-mm drill bit (26-937-27-07).

After irrigating and cleaning the wound, the capsule and the ligament structures are carefully restored. A final X-ray is then taken. Finally, the patient is provided with a sterile dressing and a dorsal forearm plaster splint.

This step requires:

2.0-mm drill bit

Non-cannu- T-Drive lated depth screwgauge driver

2.0-mm drill bit

2.7-mm drill bit

Non-cannulated depth gauge

17


P R O D U C T R A N G E : s t an d ard s e t s an d o p t i o n s

FAROS Recon implants FAROS C radial plates

Palmar radial plates The bold-type item numbers are recommended for inclusion in set.

R

L R

L

Screw position in plate

1

1

⁄1

1

⁄1

1

⁄1

⁄1

26-172-11-09

26-172-10-09

26-173-11-09

26-173-10-09

left side

right side

left side

right side

1 Dotize®

18

unit(s)

1 Dotize®

unit(s)

1 Dotize®

unit(s)

1 Dotize®

unit(s)

Screw position in plate


Icon explanations

Dotize®

1 unit(s)

Titanium, Dotize® Items/pack Multidirectional locking holes Plate profile

R

L

1

1

⁄1

⁄1

with tab

with tab

26-171-11-09

26-171-10-09

left side

right side

1 Dotize®

unit(s)

Screw position in plate

1 Dotize®

unit(s)

19


P R O D U C T R A N G E : s t an d ard s e t s an d o p t i o n s

FAROS Recon implants URS mini Ulnar and radial shortening plates

Palmar plates The bold-type item numbers are recommended for inclusion in set.

1 1

⁄1

⁄1

Ulnar shortening plate, small

Radial shortening plate, small

26-163-07-09

26-163-06-09

= 1.9 / 3.2 mm

= 1.9 / 3.2 mm

1 Dotize®

20

unit(s)

1 Dotize®

unit(s)


Icon explanations

Dotize®

1 unit(s)

Titanium, Dotize® Items/pack Multidirectional locking holes Plate profile

for drill bit max. Ø 2.0 mm

max. Ø 2.0 mm

Screws Ø 2.7 mm 1

⁄1

21


P R O D U C T R A N G E : s c re w s

FAROS Recon implants Screws

The bold-type item numbers are recommended for inclusion in set.

Screws

Multidirectional, locking cortical screws Ă˜ 2.7 mm

Multidirectional, locking cortical screws, Ă˜ 3.5 mm

1 unit(s)

Length 8 mm 10 mm 12 mm 14 mm 16 mm 18 mm 20 mm 22 mm 24 mm 26 mm 28 mm 30 mm 32 mm 34 mm 36 mm 38 mm 40 mm

22

Item No.

26-502-12-09 26-502-14-09 26-502-16-09 26-502-18-09 26-502-20-09 26-502-22-09 26-502-24-09 26-502-26-09 26-502-28-09 26-502-30-09 26-502-32-09 26-502-34-09 26-502-36-09 26-502-38-09 26-502-40-09

Item No.

2 set

2 set

4 set

4 set

4 set

4 set

2 set

2 set

2 set

2 set

26-504-12-09 26-504-14-09 26-504-16-09 26-504-18-09 26-504-20-09 26-504-22-09 26-504-24-09 26-504-26-09 26-504-28-09 26-504-30-09 26-504-32-09 26-504-34-09 26-504-36-09 26-504-38-09 26-504-40-09

2 set

2 set

2 set

2 set

2 set

2 set

2 set

2 set

2 set

2 set


Icon explanations 1 set

1 unit(s)

Items/set Items/pack Titanium T-Drive, non-cannulated Multidirectional locking holes Ø 2.7 mm Ø 3.5 mm

The bold-type item numbers are recommended for inclusion in set.

Screws

Standard cortical screws Ø 2.7 mm

Standard cortical screws Ø 3.5 mm

1 unit(s)

Length 8 mm 10 mm 12 mm 14 mm 16 mm 18 mm 20 mm 22 mm 24 mm 26 mm 28 mm 30 mm 32 mm 34 mm 36 mm 38 mm 40 mm

Item No. 26-901-08-09 26-901-10-09 26-901-12-09 26-901-14-09 26-901-16-09 26-901-18-09 26-901-20-09 26-901-22-09 26-901-24-09 26-901-26-09 26-901-28-09 26-901-30-09 26-901-32-09 26-901-34-09 26-901-36-09 26-901-38-09 26-901-40-09

2 set

2 set

4 set

4 set

4 set

4 set

4 set

4 set

2 set

2 set

2 set

2 set

Item No. 26-903-08-09 26-903-10-09 26-903-12-09 26-903-14-09 26-903-16-09 26-903-18-09 26-903-20-09 26-903-22-09 26-903-24-09 26-903-26-09 26-903-28-09 26-903-30-09 26-903-32-09 26-903-34-09 26-903-36-09 26-903-38-09 26-903-40-09

2 set

2 set

2 set

2 set

2 set

2 set

2 set

2 set

2 set

2 set

2 set

2 set

23


P R O D U C T R A N G E : s t o rag e m o d u l e an d s e t l i s t

Suggested set Instruments

The selection of instruments described below represents a basic set needed for the implantation of FAROS C as well as URS mini plates. Additional instruments are specifically required in each case. These are listed on the right and shown on page 28 for FAROS C. The instruments and saw guides additionally required for URS mini plates are depicted on page 29.

24


Icon explanations 1 set

1 unit(s)

Items/set Items/pack

FAROS instrument set 55-910-76-07

1

1

set

unit(s)

26-276-03-07

2

1

set

unit(s)

1

1

set

unit(s)

26-931-35-07

1

1

set

unit(s)

26-937-20-07

1

1

set

unit(s)

1

1

set

unit(s)

1

1

set

unit(s)

26-945-60-07

1

1

set

unit(s)

26-950-11-07

1

1

set

unit(s)

1

1

set

unit(s)

2

1

set

unit(s)

26-931-27-07

26-937-25-07 26-937-35-07

26-952-00-07 25-229-25-07

FAROS storage module, complete

FAROS A centering sleeve for 2-mm drill bits Forefoot and hindfoot soft-tissue sleeve, 2.7 mm Forefoot and hindfoot soft-tissue sleeve, 3.5 mm Twist drill, Ø 2.0 mm Twist drill, Ø 2.5 mm Twist drill, Ø 3.5 mm FAROS universal depth gauge, 60 mm AO handle with silicone insert, black T-Drive bit, T8, non-cannulated / AO attachment/coupling Bending pliers for locking (fixed-angle) plates

Additionally required for FAROS C 26-937-35-07

1

1

set

unit(s)

Gliding hole drill, 3.5 mm

Additionally required for URS mini 1

1

set

unit(s)

1

1

set

unit(s)

1

1

set

unit(s)

15-075-01-07

1

1

set

unit(s)

26-937-27-07

1

1

set

unit(s)

26-166-03-07 26-166-04-07 26-166-06-07

Saw guide for parallel cut, 3 mm Saw guide for parallel cut, 4 mm Saw guide for parallel cut, 6 mm Hooklet, blunt Gliding hole drill, 2.7 mm 25


P R O D U C T R A N G E : FA R O S b a s i c s e t

Instrument set FAROS

1

26

⁄2

1

⁄2

1

⁄2

Soft-tissue sleeve

Soft-tissue sleeve

Bending pliers for locking plates

26-931-27-07

26-931-35-07

25-229-25-07

15 cm/6"

15 cm/6"

17 cm / 6 6⁄ 8"

Ø 2.7 mm

Ø 3.5 mm

1

1

1

unit(s)

unit(s)

unit(s)


Icon explanations Steel 1 unit(s)

Items/pack

Sic

Silicone T-Drive, cannulated T-Drive, non-cannulated Ø 2.7 mm Ø 3.5 mm

85 mm

80 mm 115 mm

110 mm

1

⁄2

1

⁄2

1

⁄2

1

⁄2

1

1

⁄2

⁄2

Centering sleeve for drill bits, non-cannulated

Core hole drill

Core hole drill

Universal depth gauge

Silicone handle Screwdriver bit, non-cannulated

26-276-03-07

26-937-20-07

26-937-25-07

26-945-60-07

26-950-11-07

Ø 2.0 mm

Ø 2.0 mm

Ø 2.5 mm

18 cm/7"

11.5 cm / 4 4⁄ 8"

1

1

1

1

1

unit(s)

unit(s)

unit(s)

unit(s)

unit(s)

Sic

26-952-00-07

1 unit(s)

27


P R O D U C T R A N G E : FA R O S b a s i c s e t

Additionally required instruments FAROS Recon

FAROS C The bold-type item numbers are recommended for inclusion in set.

1

⁄2

1

⁄2

⁄2

1

⁄2

Drill bit

Centering sleeve

Cortical tap

Tamper

26-937-35-07

26-185-35-07

26-938-35-07

23-198-08-07

11.5 cm / 4 4⁄ 8"

15.5 cm / 6 1⁄ 8"

Ø 3.5 mm

Ø 3.5 mm

11.5 cm / 4 4⁄ 8" Ø 3.5 mm

28

1

Ø 3.5 mm

1

1

1

1

unit(s)

unit(s)

unit(s)

unit(s)


Icon explanations Steel 1

Items/pack

unit(s)

T-Drive, cannulated T-Drive, non-cannulated Ø 2.3 mm Ø 3.5 mm

URS mini The bold-type item numbers are recommended for inclusion in set.

5 .1 ax m m m

max. 0,5 mm

80 mm 110 mm

1

⁄2

1

⁄2

1

⁄2

1

⁄2

1

⁄2

Saw guide for parallel cut

Saw guide for parallel cut

Saw guide for parallel cut

Hooklet, blunt

Gliding hole drill

26-166-03-07

26-166-04-07

26-166-06-07

15-075-01-07

26-937-27-07

Distance: 3 mm

Distance: 4 mm

Distance: 6 mm

17 cm / 6 6⁄ 8"

Ø 2.7 mm

1

1

1

1

1

unit(s)

unit(s)

unit(s)

unit(s)

unit(s)

29


S E RV I C E : i n f o r m at i o n m at e r i a l an d c at a l o g s

Should any more questions remain … … just contact us!

Apart from our range of products specially tailored to the requirements posed by traumatological and reconstructive interventions in hand surgery, we also offer you a wide selection of different systems for use in classical traumatology. Please do not hesitate to order our Special Catalog for the Upper and Lower Extremities, which is available in printed and digital form (CD). To facilitate the ordering process for you, we have created a special Order Form that is available on request at any time.

Of course, you can reach us personally at your convenience, either by e-mail – natalie.weissbecker@klsmartin.com – or telephone (customer hotline): +49-7461-706-109.

30


Special Catalog for the Upper and Lower Extremities Printed version 90-851-48-06

FAROS C video

URS video

DVD

DVD

90-167-31-04

90-738-39-04

CD version 90-851-38-06

FAROS Recon references Prommersberger K.-J., Lanz U. Die Korrekturosteotomie der fehlverheilten distalen Radiusfraktur vom Extensionstyp Operative Orthopädie und Traumatologie 1998;10:77-89

Prommersberger K.-J., Lanz U.B. Corrective osteotomy of the distal radius through a volar approach Techniques of Hand and Upper Extremity Surgery 2004; 8:70-77

Prommersberger K.-J., Moossavi S., Lanz U. Ergebnisse der Korrekturosteotomie fehlverheilter Extensionsfrakturen der Speiche an typischer Stelle Handchir. Mikrochir. Plast. Chir. 1999;31:234-240

Prommersberger K.-J., van Schoonhoven J., Lanz U.B. Outcome after corrective osteotomy for malunited fractures of the distal end of the radius J Hand Surg (Br.) 2002; 27: 55-60

Prommersberger K.-J., van Schoonhoven J. Korrektureingriffe nach distaler Radiusfraktur Unfallchirurg 2007; 110:617-630

Prommersberger K.-J., van Schoonhoven J., Laubach S., Lanz U. Corrective Osteotomy for Malunited, Palmarly Displaced Fractures of the Distal Radius Eur J Trauma 2001; 27:16-24

Prommersberger K.-J., van Schoonhoven J. Fehlverheilte Extensionsfraktur des distalen Radius Unfallchirurg 2007; 110:631-636 Prommersberger K.-J., van Schoonhoven J. StĂśrungen des distalen Radioulnargelenkes nach distaler Radiusfraktur Unfallchirurg 2008; 111:6173-186

Prommersberger K.-J., Fernandez D.L. Nonunion of Distal Radius Fractures Clinical Orthopaedics and Related Research 2004;419:51-56

31


KLS Martin Group Karl Leibinger GmbH & Co. KG 78570 Mühlheim . Germany Tel. +49 74 63 838-0 info@klsmartin.com

KLS Martin France SARL 68000 Colmar . France Tel. +33 3 89 21 66 01 france@klsmartin.com

KLS Martin L.P. Jacksonville, Fl 32246 . USA Tel. +1 904 641 77 46 usa@klsmartin.com

KLS Martin GmbH + Co. KG 79224 Umkirch . Germany Tel. +49 76 65 98 02-0 info@klsmartin.com

Martin Italia S.r.l. 20059 Vimercate (MB) . Italy Tel. +39 039 605 67 31 italia@klsmartin.com

Orthosurgical Implants Inc. Miami, Fl 33186 . USA Tel. +1 877 969 45 45 sales@orthosurgical.com

Stuckenbrock Medizintechnik GmbH 78532 Tuttlingen . Germany Tel. +49 74 61 16 58 80 verwaltung@stuckenbrock.de

Nippon Martin K.K. Osaka 541-0046 . Japan Tel. +81 6 62 28 90 75 nippon@klsmartin.com

Gebrüder Martin GmbH & Co. KG Representative Office . Russia 121471 Moscow Tel. +7 (499) 792-76-19 russia@klsmartin.com

Rudolf Buck GmbH 78570 Mühlheim . Germany Tel. +49 74 63 99 516-30 info@klsmartin.com

Martin Nederland/Marned B.V. 1270 AG Huizen . The Netherlands Tel. +31 35 523 45 38 nederland@klsmartin.com

Gebrüder Martin GmbH & Co. KG A company of the KLS Martin Group Ludwigstaler Str. 132 · D-78532 Tuttlingen Postfach 60 · D-78501 Tuttlingen Tel. +49 7461 706-0 · Fax +49 7461 706-193 info@klsmartin.com · www.klsmartin.com

11.09 . 90-601-02-04 . Printed in Germany · Copyright by Gebrüder Martin GmbH & Co. KG · Alle Rechte vorbehalten · Technische Änderungen vorbehalten We reserve the right to make alterations · Cambios técnicos reservados · Sous réserve de modifications techniques · Ci riserviamo il diritto di modifiche tecniche


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