CHS Catalog Tehnica
CHS Catalog Tehnica
CHS Catalog Tehnica
Table of Contents
Indications
Design Features
Templating
Patient Prep
Surgical Technique
Catalog
2
3
4
5
6
18
Indications
The Smith & Nephew Compression Hip Screw is
intended to treat fractures of the proximal femur.
This includes:
Intertrochanteric Fractures
Subtrochanteric Fractures
Intracapsular Neck Fractures
Subcapital Fractures
Design Features
CLASSIC Keyed and AMBI Keyed/Keyless Plates
AMBI Plates: Barrel design is keyless but can be converted
to keyed with the insertion of a small keying clip.
CLASSIC Plates: Barrel design is keyed only.
Angles: 130 to 150 in 5 increments
Lengths: 60mm to 300mm, 2 to 14 slots
Barrel Lengths: Standard plate barrels are 38.1mm long
Selected sizes are available with a shorter 25.9mm barrel
Templating
150
CHS LENGTH/ANGLE*
RADIOGRAPHIC TEMPLATE
145
140
135
130
1
1 40m
13 35m m
1 0m m
12 25m m
115 0m m
1 m m
1 10m m
10 05m m
9 0m m
9 5m m
85 0mmm
8 m
75 0m m
* 70 mmm
* 65 m
* 60 mmm
55 mm
mm
60mm
80mm
100mm
120mm
140mm
180mm
220mm
260mm
300mm
Patient Prep
Preoperative Planning
Adequate preoperative assessment of the
fracture requires a thorough history, careful
physical exam, and adequate radiographic
studies. Ambulatory status as well as previous
lower extremity fractures and surgeries must be
known. Obtain appropriate radiographic images.
Note any skin compromise.
Patient Positioning
Patient is placed supine on a fracture table with
the unaffected leg flexed at the hip and knee,
and then abducted and slightly internally rotated.
Surgical Techinque
Guide Pin Insertion
Adjustable
Angle Guide
Quick Connect
Adaptor
Tip Threaded
Guide Pin
Percutaneous Direct
Measuring Gauge
Guide Pin
Placement
Instrument
Reaming
Set the power combination reamer to the lag
screw length indicated by the measuring gauge.
Ream for lag screw using the combination reamer.
Insert the reamer over the guide pin. To minimize
the occurrence of guide pin pullout, it is important
to avoid reaming over the threaded portion of the
guide pin. This can be achieved in two ways.
Short barrel notch indicator to be used when
reaming short barrel plates.
Power Combination
Reamer
Quick-Connect
T-Handle
Tapping
Tapping is indicated in younger patients or
abnormally dense bone. It is also indicated to
avoid excessive torque during insertion of the lag
screw. To tap, attach the quick-connect T-handle
to the lag screw tap and set it to the appropriate
lag screw length. Tap until the advancing portion
of the positive stop rests against the cortex guide.
Lag Screw Tap
Lag Screw
Length Selection
Lag screw length will determine the amount
of compression you can achieve with the
compression screw intraoperatively. If the lag
screw selected is exactly the same length of the
measurement taken from the direct measuring
gauge, this will provide 5mm of compression.
If more compression is needed, a 5mm shorter lag
screw will permit 5mm of additional compression.
Assembled
CLASSIC
Insertion Wrench
Plate Tamper
Plate Tamper
Unscrew the retaining rod from the lag screw and
remove the insertion wrench. Slide the cannulated
plate tamper over the guide pin into the barrel of
the plate to fully seat the plate. Remove the guide
pin once the plate is fully seated.
Cannulated Plate
Tamper
Assembled
AMBI CLASSIC
Centering Sleeve
AMBI
Insertion Wrench
10
Clip Insertion
For Use with AMBI Plates Only.
Make sure the wrench is perpendicular to the
femur and be sure the lines on the plate barrel
and AMBI insertion wrench are aligned. Press
the AMBI clip inserter down the shaft of the
AMBI insertion wrench. Use firm finger
pressure until the clip snaps in place.
AMBI Clip
Plate Tamper
Unscrew the retaining rod from the lag screw and
remove the insertion wrench. Slide the cannulated
plate tamper over the guide pin into the barrel of
the plate to fully seat the plate. Remove the guide
pin once the plate is fully seated.
11
Wrench Assembly
Centering Sleeve
Insertion/Removal
Wrench
12
Plate Tamper
Unscrew the retaining rod from the lag screw and
remove the insertion wrench. Slide the cannulated
plate tamper over the guide pin into the barrel of
the plate to fully seat the plate. Remove the guide
pin once the plate is fully seated.
13
3.5 Twist
Drill
Combination
Drill Guide
Bone
Screw
Length
Gauge
14
Secure the plate to the bone using 4.5mm selftapping bone screws.
Self-Holding
Hex
Screwdriver
Hex Screwdriver
15
16
2.4mm Pin
Guide
Lag Screw
Trephine
Insertion/Removal
Wrench
17
Catalog
CLASSIC
Compression Hip Screw
Standard Barrel Plates
CLASSIC
Compression Hip Screw
Short Barrel Plates
12-4161 14 Slot
12-4163 14 Slot
18
Angle
130
135
140
145
150
130
135
140
145
150
130
135
140
145
150
130
135
140
145
150
130
135
140
145
150
130
135
140
145
150
130
135
140
145
150
135
145
300mm 135
300mm 145
AMBI
Compression Hip Screw
Standard Barrel Plates
Barrel Length: 1.5" (38.1mm)
Cat. No. Description Length
12-1120 2 Slot
60mm
12-1121
2 Slot
60mm
12-1122 2 Slot
60mm
12-1123 2 Slot
60mm
12-1124 2 Slot
60mm
12-1125 3 Slot
80mm
12-1126 3 Slot
80mm
12-1127 3 Slot
80mm
12-1128 3 Slot
80mm
12-1129 3 Slot
80mm
12-1130 4 Slot
100mm
12-1131
4 Slot
100mm
12-1132 4 Slot
100mm
12-1133 4 Slot
100mm
12-1134 4 Slot
100mm
12-1135 5 Slot
120mm
12-1136 5 Slot
120mm
12-1137 5 Slot
120mm
12-1138 5 Slot
120mm
12-1139 5 Slot
120mm
12-1140 6 Slot
140mm
12-1141
6 Slot
140mm
12-1142 6 Slot
140mm
12-1143 6 Slot
140mm
12-1144 6 Slot
140mm
12-1145 8 Slot
180mm
12-1146 8 Slot
180mm
12-1147 8 Slot
180mm
12-1148 8 Slot
180mm
12-1149 8 Slot
180mm
12-1150 10 Slot
220mm
12-1151 10 Slot
220mm
12-1152 10 Slot
220mm
12-1153 10 Slot
220mm
12-1154 10 Slot
220mm
12-1156 12 Slot
260mm
12-1158 12 Slot
260mm
12-1161
12-1163
14 Slot
14 Slot
Angle
130
135
140
145
150
130
135
140
145
150
130
135
140
145
150
130
135
140
145
150
130
135
140
145
150
130
135
140
145
150
130
135
140
145
150
135
145
300mm 135
300mm 145
19
AMBI
Compression Hip Screw
Short Barrel Plates
Barrel Length: 1.0" (25.4mm)
Cat. No. Description Length Angle
12-1198
4 Slot
100mm 130
12-1199
4 Slot
100mm 135
12-1200
4 Slot
100mm 140
12-1201
4 Slot
100mm 145
12-1202
4 Slot
100mm 150
12-1165
5 Slot
120mm 130
12-1166
5 Slot
120mm 135
12-1167
5 Slot
120mm 140
12-1168
5 Slot
120mm 145
12-1169
5 Slot
120mm 150
AMBI CLASSIC/IMHS
Standard Lag Screws
Thread Diameter: 1/2" (12.7mm)
Thread Length: 21.0mm
Root Diameter: 9.0mm
Cat. No. Length
Cat. No.
12-1100
55mm
12-1109
12-1101
60mm
12-1110
12-1102
65mm
12-1111
12-1103
70mm
12-1112
12-1104
75mm
12-1113
12-1105
80mm
12-1114
12-1106
85mm
12-1176
12-1107
90mm
12-1177
12-1108
95mm
12-1178
Length
100mm
105mm
110mm
115mm
120mm
125mm
130mm
135mm
140mm
AMBI Clip
Cat. No. 12-1115
20
Length
100mm
105mm
110mm
115mm
120mm
125mm
130mm
135mm
140mm
Length
25mm
30mm
35mm
40mm
45mm
50mm
55mm
60mm
65mm
70mm
Cat. No.
12-1635
12-1636
12-1637
12-1638
12-1639
12-1640
12-1641
12-1642
12-1643
12-1644
Length
75mm
80mm
85mm
90mm
95mm
100mm
105mm
110mm
115mm
120mm
Compression Screws
Cat. No. Length
12-1116
19mm
Length
42mm
44mm
46mm
48mm
50mm
52mm
54mm
56mm
58mm
60mm
62mm
64mm
21
Quick-Connect Adaptor
(for use with Hall, Jacobs, or Stryker power)
Cat. No. 7111-0020
Quick-Connect Adaptor
(for use with Synthes power)
Cat. No. 7111-0022
Perforation Drill
Cat. No. 11-0021
NOTE: Used to make opening in lateral cortex guide pin.
Quick-Connect T-Handle
Cat. No. 7111-5045
22
Trial Handle
Cat. No. 11-0047
Trial Plates
Cat. No.
11-0042
11-0043
11-0044
11-0045
11-0046
Angle
130
135
140
145
150
AMBI CLASSIC
Centering Sleeve
Cat. No. 11-0029
23
Plate Tamper
Cat. No. 11-0020
Insertion/Removal Wrench
Cat. No. 11-5061
Insertion/Removal Wrench
Centering Sleeve
Cat. No. 7111-0030
Plate Clamp
Cat. No. 21-0204
24
Screw Pickup
Cat. No. 7111-5085
Hex Screwdriver
Cat. No. 11-5035
25
Drill Sleeve
3.5 mm
Cat. No. 7111-0123
Twist Drill
4.5 mm
Cat. No. 7111-0027
Obturator
Cat. No. 11-6500
Angle
90
95
26
Sterilization Tray
Cat. No. 7111-5090
AMBI CLASSIC
Instrument Tray
Cat. No. 7111-5091
Screw Caddy
Cat. No. 7111-5097
27
28
29
Orthopaedics
Smith & Nephew, Inc.
1450 Brooks Road
Memphis, TN 38116
USA
www.smith-nephew.com
Telephone 901-396-2121
Information 1-800-821-5700
Orders/Inquiries 1-800-238-7538