ANKLE FRACTURE

MANAGEMENT SYSTEM
Ankle Fracture Management System
Introduction
Ankle fractures are frequently complicated by variables out of the surgeon’s control.
The amount of comminution, degree of osteoporosis, location of the fracture, and size
of the patient can all lead to challenging obstacles. The Ankle Fracture Management
System was developed to be the most comprehensive set available for the treatment
of common injuries. Improved basic small fragment implants and instrumentation,
anatomic plates, and locking-screw technology, allow for confident and effective
treatment of the majority of fracture patterns.

This set was designed to give the surgeon the armamentarium to more effectively
address any patient/injury pattern encountered. Significant time and research were
invested to develop anatomic plates, with specific emphasis placed on determining the
appropriate angle of the locked screws. This allows for easier and faster implantation,
while negating the need for more expensive “variable-angle” locking plates and screws.

Included in the set are a variety of fracture-specific plates engineered to address

even the most difficult fracture patterns. These consist of Third Tubular Plates, 3.5 mm
Reconstruction Plates, Lateral Hook Plates, Medial Hook Plates, and Complex Fibular
Fracture Plates.

All plates designed for use on the fibula have modifications that allow for easier
use of either the TightRope® or syndesmotic screws for stabilization of associated
ligamentous injuries.
Complex Fibular Fracture Plates
The Complex Fibular Fracture Plates, otherwise known as the
Locking Distal Fibular Plates, are designed for use in the most
challenging lateral malleolus fractures. The distal portion or head
of the plate thins and spreads to encompass a large portion of
the lateral malleolus. The head accepts multiple 2.7 mm locking
screws or 3 mm cancellous screws, making this plate ideal
for patients with highly comminuted lateral malleolus fractures,
osteoporotic bone, obesity, or open injuries with associated bone
loss. Included are divergent angle screw holes that increase
biomechanical stability and provide for more secure fixation.
The shaft portion of the plate thickens to improve rigidity and
strength, and the multi-functional screw holes allow for multiple
screw options. As with all of the fibular plates, there are recessed
screw holes and a scalloped perimeter, which allows for easier
contouring and Knotless TightRope/screw placement outside of
the plate, as necessary.

• Tapered proximal tip eases percutaneous

insertion on the fibular shaft

• 35º cut-out (coronal plane) allows proper

drill angle for syndesmotic screw or
Knotless TightRope

• Precontoured design based on anatomic

fibular template

• Scalloped edge also allows the Knotless

TightRope and syndesmosis screw to be
placed outside of the plate, if necessary

• Five diverging distal 2.7 mm locking holes

for solid fixation in softer bone

Aiming Guide

AR-8943BL sizes 04, 05, 06, 08—hole,left

AR-8943BLS sizes 10, 12, 14—left, sterile
AR-8943BR sizes 04, 05, 06, 08—hole,right
AR-8943BRS sizes 10, 12, 14—right, sterile
 Surgical Technique
Yellow
laser-marked Fig 1 – Reduce the fracture and
Drill Guide for 3.5 mm apply interfragmentary (lag) screws if
screws (2.5 mm appropriate. Secure the plate to the
laser-marked drill)
fibula proximally using either a 3.5 mm
nonlocking cortical screw or 4 mm
cancellous screw.

Fig 2 – Secure the plate distally using

either 2.7 mm locking or 3 mm
cancellous screws. The remaining
Red laser-marked
Drill Guide for proximal screw holes accept 3.5 mm
2.7 mm screw nonlocking cortical, 4 mm cancellous,
(2 mm laser-marked drill)
or 3.5 mm locking screws.

1 2

Fig 3 – If syndesmosis stabilization is

required, the screw holes around this
zone incorporate a posterior recess
that allows for proper drill angulation,
whether using the TightRope or a
screw as fixation. The plate holes
are nested so the round button of the
TightRope sits flush, reducing overall
profile. The scalloped design also
allows for the TightRope placement to
be posterior to the plate, if necessary.

3
Locking Third Tubular Plates
Low profile plates are designed for use with the majority
of fibular fractures. The scalloped design allows for easier
contouring and placement of TightRope/screws outside of
the plate, when necessary. The arch maintains strength while
decreasing surface contact with the periosteum, preserving
blood supply. All screw holes accept 3.5 mm nonlocking
cortical, 3.5 mm locking, or 4 mm cancellous screws. Nested
slots at the screw holes lessen screw head prominence and
allow the TightRope’s circular button to fit snugly.

• All shaft holes allow 3.5 mm locking,

3.5 mm nonlocking and 4 mm
cancellous screw placement

• Rounded tip eases percutaneous

insertion on the fibular shaft

• Scalloped edge feature reduces

profile and makes manual
contouring easy

• Holes accommodate ankle

TightRope or metal screws

• The yellow laser-marked threaded

Drill Guide and long, laser-marked
2.5 mm Drill Bit are required for the
use of the 3.5 mm locking screw

AR-8943T sizes 04, 05, 06, 07, 08, 10, 12—hole

 Surgical Technique

4 mm
nonlocking 3.5 mm
3.5 mm
cancellous nonlocking
locking
cortical

Multiple Screw Fixation Options

TightRope Fixation
A) Through Plate; B) Posterior Placement

4 mm Cannulated, Partially Threaded, Cancellous Screws

Fig 1, 1a, 2, 2a – Use the parallel drill
guide to accurately place two guide
wires, remove and use the opposite
end of the guide to predrill pilot holes
1a 2a using a 2.6 mm cannulated drill. Both
short and long threaded versions of
the cancellous screws are available,
as well as solid versions.

Note: It is recommended that medial

malleolus fixation is performed prior to
TightRope placement to avoid cutting the
FiberWire® with drills and screws.
1 2
Reconstruction Plates
The Locking Straight Plates are thicker and stronger than
Locking Third Tubular or Locking Distal Fibular Plates. They are
designed for use with more comminuted fibular shaft fractures,
larger athletes, and obese patients. The scalloped design
allows for easier contouring. Like the Third Tubular Plates, all
recessed screw holes accept locking or nonlocking screws,
reducing screw head prominence.

• Tapered tips ease percutaneous

insertion on the fibular shaft

• All shaft holes allow 3.5 mm locking,

3.5 mm nonlocking and 4 mm
cancellous screw placement

• Scalloped edge feature reduces

profile and makes manual contouring easy

• Scalloped edge also allows the

TightRope or syndesmosis screw to
be placed outside of the plate

AR-8943C sizes 04, 06,

07, 08,10,12—hole
 Surgical Technique

Fig 1– All screw holes accept 3.5 mm

nonlocking cortical, 4 mm cancellous,
or 3.5 mm locking screws. The yellow
laser-marked, threaded Drill Guide,
along with the laser-marked long
2.5 mm Drill Bit, is required if locking
screws are chosen. These screws
should be placed only after any
nonlocking screws are inserted.
If two TightRopes
are used, slightly
divergent angles are
recommended

1 2

Syndesmosis Fixation Options:

Fig 2, 2a and 2b – If syndesmosis
stabilization is required, it is important
to appropriately angle the fixation device
chosen (TightRope or screw), ensuring
proper reduction of the syndesmotic
joint. This typically requires about 30º
of anterior angulation, towards a more
anteromedial position in the distal tibia.
If desired, the TightRope can be used
outside of the plate for an even lower
profile construct.

2a 2b
Locking Medial Hook Plates
The Locking Medial Hook Plate is designed to treat extreme
distal or comminuted medial malleolus fractures. The two-hooked,
distal prongs are designed to corporate the deltoid ligament
attachment, affording secure fixation of these small fragments (akin
to using the rotator cuff in assisting greater tuberosity fixation in
the shoulder). The prongs are spaced and recessed appropriately
to allow for placement of a 4 mm cancellous screw, if desired.
As these small fragments typically do not permit the placement of
two 4 mm screws, this plate improves the strength of fixation and
improves rotational control. The proximal screw holes allow for the
placement of 3.5 mm nonlocking cortical screws, 3.5 mm locking
screws, or 4 mm cancellous screws and 2.7 mm locking or 3.0 mm
cancellous distally.

• Tapered proximal tip eases

percutaneous insertion
on the tibia

• Plate accepts 3.5 mm locking

or nonlocking and 4 mm
cancellous screws proximally

• Dynamic compression slot accepts 3.5 mm

cortical and 4 mm cancellous screws

• Hooks provide fixation for distal fragment

and deltoid ligament attachment

• Distal holes accept 2.7 mm locking

or 3.0 cancellous screws

AR-8943H sizes 03, 05, 07—hole

 Surgical Technique

3.5 mm nonlocking Fig 1 – Insert hooks into the deltoid

cortical, 3.5 mm locking, ligament near attachment onto medial
or 4 mm cancellous
screws may be used in malleolus. The surgeon has multiple
proximal plate holes options during initial phase of plate
placement. A 2.5/2.6 mm drill is
used prior to placement of a 3.5 mm
nonlocking or 4 mm cancellous screw
in superior aspect of the oblong hole,
tightening only after compression
across the fracture has been achieved.
1 2
Fig 2 – Insert partially threaded 4 mm
cancellous screw through distal hooks
to compress fracture prior to proximal
Groove screw tightening. Use a metal tamp
accommodates to impact the tines prior to screw
4 mm cancellous
screws
placement, if desired.

Fig 3 – The yellow laser-marked,

threaded Drill Guide is required if
3.5 mm locking screws are used.

Fig 4 – 2.7 mm fragment-specific

4
screws can be inserted, use red
3 laser-marked Drill Guide for 2.7 mm
screw (2 mm laser-marked drill)

OR
Note: Impaction of the tines into bone is
NOT mandatory, and is not required to
achieve adequate stability of the distal
fragment. It is acceptable to leave the
hooks slightly proud.

OR

Fig 1 – Place the plate in desired

position using a Bone Tamp.
1 The designing surgeon typically
achieves the desired amount of hook
compression with the 4 mm screw.
It is often helpful to provisionally
stabilize the fracture with a guidewire
placed in the anticipated position of
the cannulated screw.

Fig 2 – Insert the 4 mm partially

threaded cancellous screw prior
to placement of any proximal
screws, compressing the hooks
until rotational stability is achieved.

Fig 3 – Complete repair using

2 3 3.5 mm locking, 3.5 mm nonlocking
or 4 mm cancellous screws to secure
the proximal portion of the plate.
The anatomic, low profile plate is designed to treat fibular
fractures with extreme distal extension. The plate is anatomically
designed to fit the lateral aspect of the fibula, with 2.7mm locking
screw holes in the distal portion for more reliable fixation (3 mm
nonlocking cancellous screws are also available). The two-
hooked, distal prongs are designed to incorporate the calcaneal
fibular ligament attachment (akin to using the rotator cuff in
assisting greater tuberosity fixation in the shoulder). These prongs
are spaced and recessed appropriately to allow placement of a
4 mm cancellous screw, if desired.

• Proximal holes accept 3.5 mm

nonlocking cortical, 3.5 mm
locking, and 4 mm
cancellous screws

• Dynamic compression slot

accepts 3.5 mm cortical
and 4 mm cancellous screws

• Fibula hook design allows repair of a

Weber A avulsion fracture, as well as
extreme distal fibular fracture extension
patterns. 4 mm cancellous screw
placement in between the hook prongs
adds extra compression

• Four distal 2.7 mm locking holes

for solid fixation in softer bone

PEEK Aiming Guide

AR-8943TH sizes 03, 05, 07—hole

 Fig 1 – Insert hooks into calcaneal
fibular ligament near attachment onto
Angled 2.7 mm
lateral malleolus. The surgeon has
locking screws multiple options during initial phase
(3 mm cancellous of plate placement. A 2.5/2.6 mm
screws optional)
Drill Guide is used prior to placement
of a 3.5 mm nonlocking or 4 mm
Groove cancellous screw in the superior
accommodates
4 mm cancellous
aspect of the oblong hole, tightening
screws only after compression across the
fracture has been achieved.

Fig 2 – Place a 4 mm cancellous

screw through the distal hooks to
seat the plate (this screw does not
need to cross the fracture site), using
the 2.6 mm cannulated Drill Bit for
the pilot hole. If desired, use a Bone
Tamp to impact the tines prior to
screw placement.

Note: Impaction of the tines into bone is not

mandatory, and is NOT required to achieve
adequate stability of the distal fragment.

1 2

OR

Fig 3 – Locking screws should not

3.5 mm nonlocking
or locking, 4 mm be inserted until desired nonlocking
cancellous screws screws have been placed.
The proximal screw holes may
be filled with 3.5 mm locking
(which require the use of the yellow
laser-marked, threaded Drill Guide
and 2.5 mm graduated Drill Bit),
3.5 mm nonlocking cortical, or
4 mm cancellous screws as desired.

Fig 4 – The five distal screw holes

accept 2.7 mm locking screws
(which require the use of the red
laser-marked, threaded Drill Guide)
or 3 mm cancellous screws,
depending on bone quality and
surgeon preference. It is not typically
necessary to fill all distal screw holes.
2.7 mm
locking or 3 mm
cancellous screws

3 4
 Introducing
the Family of
Ankle Fracture
Management
Products

Ankle Fracture Management System, AR-8943S

Ankle Fracture Distal Tibia

Screw Case, AR-8943C-31
The Ankle Fracture Management System was designed to give
surgeons the ability to fix the majority of ankle fractures, while opening
only one set. As described earlier, the set contains five different
locking/nonlocking plates and a wide variety of screws which should
easily accommodate the most common ankle fracture cases.

Offering multiple fixation solutions, the Ankle Fracture Distal Tibia Screw
Case (pictured below) is an auxiliary container which complements and
may be added to the system to fulfill the needs of the surgeon when
considering more complex cases. The AR-8943C-31 case is currently
available and houses both solid and cannulated cortical screws,
cancellous screws, as well as a wider range of sizes of those screws
already found in the main set (AR-8943S, pictured left).

The AR-8943C-31 houses the following screws:

2.7 mm Locking
2.7 mm Cortical
3.0 mm Cancellous
3.5 mm Locking
3.5 mm Cortical
4.0 mm Short Thread
4.0 mm Long Thread
4.0 mm Cannulated Short Thread
4.0 mm Cannulated Long Thread
4.0 mm Cancellous

(screws sold separately)

Ankle Fracture Management System—AR-8943S
RECOMMENDED RECOMMENDED
Instrumentation included in AR-8943S PRODUCT # PRODUCT #
SET CONTENT SET CONTENT

Instrumentation for 2.7 mm and 3 mm Screws: Disposables:

Screwdriver, T10 Hexalobe AR-8943-08 1 BB-Tak, threaded AR-13226T 4
Drive Shaft, T10 Hexalobe, QC AR-8944DH 1 Guidewire w/Trocar Tip, threaded, .053”
Drill Bit, graduated, 2 mm AR-8943-16 2 (1.35 mm x 150 mm) AR-8943-38 6
Drill Guide, threaded, low profile, 2.7 mm AR-8943-17 2 Guidewire w/Trocar Tip, .053” (1.35 mm x 150 mm) AR-8943-01 6
Drill Guide, 2.7/2 mm AR-8827D-02 Guidewire w/Trocar Tip, .062” (1.6 mm x 150 mm) AR-8941K 6
Drill Bit, 2.7 mm AR-8827D-01 Guidewire w/Trocar Tip, .078” (2 mm x 130 mm) AR-8945K 6
Drill Guide, 3 mm/2 mm AR-8943-31 1 Drill Guide Sleeve Caddy AR-8943C-32
Drill Bit, 3 mm AR-8943-36 2
Plates RECOMMENDED
Instrumentation for 3.5 mm Cortical, Locking, 4 mm Cancellous Screws: # OF HOLES LENGTH PRODUCT # SET CONTENT
Bone Tap, cancellous, 4 mm AR-8940T 1 Locking Distal Fibula Plate:
Countersink for 3.5 mm/4 mm Screws AR-8950-03 1
Screwdriver, T15 Hexalobe AR-8943-10 1
Hexalobe Driver, T15 AR-8941DH 1
Drill Bit, 3.5 mm AR-4160-35 2
Drill Bit, laser-marked at 3.5”, graduated, 2.5 mm AR-8943-42 2 4H 79 mm AR-8943BR-04 2 Right
Drill Guide, 3.5 mm/2.5 mm AR-8943-14 1 5H 91 mm AR-8943BR-05 2 Right
Bone Tap, 3.5 mm AR-8935T 1 6H 104 mm AR-8943BR-06 2 Right
Drill Guide, locking, 3.5 mm AR-8943-43 2 8H 130 mm AR-8943BR-08 2 Right
Drill Sleeve Insert, 2.5 mm AR-8943-27 1 10H 155 mm AR-8943BRS-10** 0 Right
Drill Bit, 2.5 mm AR-8943-30 2 12H 180 mm AR-8943BRS-12** 0 Right
14H 205 mm AR-8943BRS-14** 0 Right
Instrumentation for 4 mm LPS, Partially Threaded Screws: 4H 79 mm AR-8943BL-04 2 Left
Drill Bit, cannulated, 2.6 mm AR-8943-02 2 5H 91 mm AR-8943BL-05 2 Left
Drill Guide, 2.6 mm/1.35 mm AR-8943-03 1 6H 104 mm AR-8943BL-06 2 Left
Depth Device, cannulated AR-8943-04 1 8H 130 mm AR-8943BL-08 2 Left
Screwdriver, T15 Hexalobe, cannulated AR-8943-09 1 10H 155 mm AR-8943BLS-10** 0 Left
Drive Shaft, QC, T15 Hexalobe, cannulated AR-8943-12 1 12H 180 mm AR-8943BLS-12** 0 Left
Bone Tap, cannulated, 4 mm AR-8943-06 1 14H 205 mm AR-8943BLS-14** 0 Left
Countersink, cannulated, 4 mm AR-8943-05 1 Locking Third Tubular Plate
Parallel Drill Guide, 2.6 mm/1.35 mm AR-8943-41 1
Instrumentation:
Bone Reduction Forceps, curved, pointed AR-8943-07 2
4H 47 mm AR-8943T-04 2
Holding Sleeve for 2.7, 3.5 & 4 mm Screws AR-8943-11 1
5H 59 mm AR-8943T-05 2
Driver Handle w/AO connection, cannulated AR-13221AOC 1
6H 72 mm AR-8943T-06 2
Ratcheting Screw Driver Handle, AO, mini, cannulated AR-8737RH 1
7H 85 mm AR-8943T-07 2
Depth Device, low profile, 2.7 mm/3.5 mm/4 mm AR-8943-15 1
8H 98 mm AR-8943T-08 2
Bending Iron AR-8943-18 2
10H 123 mm AR-8943T-10 2
Freer Elevator AR-8943-19 1
12H 148 mm AR-8943T-12 2
Periosteal Elevator, 6 mm, curved blade AR-8943-20 1
Locking Straight Plate:
Sharp Hook AR-8943-21 2
Cup Curette, straight shaft, 100 mm AR-8661 1
Hohmann Retractor, 8 mm AR-13210 1
Hohmann Retractor, 15 mm AR-8943-22 2
Lobster Claw AR-8943-23 1 4H 55 mm AR-8943C-04 2
Weber Clamp AR-8943-24 1 6H 80 mm AR-8943C-06 2
Screw Holding Forceps AR-8941F 1 7H 93 mm AR-8943C-07 2
BB-Tak AR-13226 4 8H 106 mm AR-8943C-08 2
Aiming Guide, Locking Distal Fibula Plate, right AR-8943-33 1 10H 131 mm AR-8943C-10 2
Aiming Guide, Locking Distal Fibula Plate, left AR-8943-34 1 12H 156 mm AR-8943C-12 2
Aiming Guide, Locking Lateral Hook Plate AR-8943-35 1 Locking Medial Plate:
Tamp for Hook Plates AR-8943-28 1
Ankle Fracture System Instrument Case AR-8943C 1
Optional:
Syndesmosis Clamp AR-8943-44 3H 61 mm AR-8943H-03 2
Verbrugge Forceps AR-8943-39 5H 79 mm AR-8943H-05 2
Drill Sleeve, 2 mm AR-8943-32 7H 97 mm AR-8943H-07 2
Drill Guide Sleeve Caddy AR-8943C-32 Lateral Hook Plate:
Bending Guide, locking, 3.5 mm AR-8954-07
Screw Caddy, 2.7 mm AR-8827C-10
Screw Caddy, 3.0 mm AR-8943C-30
Ankle Fracture Screw Case (auxiliary) AR-8943-C-31
3H 72 mm AR-8943TH-03 2
5H 98 mm AR-8943TH-05 2
7H 123 mm AR-8943TH-07 2
**Sterile
All three levels pictured below
are included in AR-8943S LEVEL 3
Instrument Tray with K-wires

Syndesmosis Clamp
(attached to lid)

LEVEL 2
Implant Tray

Screw Caddy
with Washers

LEVEL 1
Instruments in Case
Ankle Fracture Management System—AR-8943S
RECOMMENDED SET RECOMMENDED SET RECOMMENDED SET RECOMMENDED SET
Implants LENGTH PRODUCT # Implants LENGTH PRODUCT #
CONTENT, AR-8943C CONTENT, AR-8943C-31 CONTENT, AR-8943C CONTENT, AR-8943C-31

2.7 mm Low Profile Screw™, Locking 3.5 mm Low Profile Screw, Nonlocking, Cortical
10 mm AR-8827L-10 4 8 10 mm AR-8835-10 3 6
12 mm AR-8827L-12 4 8 12 mm AR-8835-12 6 6
14 mm AR-8827L-14 4 8 14 mm AR-8835-14 6 6
16 mm AR-8827L-16 4 8 16 mm AR-8835-16 6 6
18 mm AR-8827L-18 4 8 18 mm AR-8835-18 6 6
20 mm AR-8827L-20 4 8 20 mm AR-8835-20 3 6
22 mm AR-8827L-22 4 8 22 mm AR-8835-22 3 6
24 mm AR-8827L-24 4 8 24 mm AR-8835-24 3 6
26 mm AR-8827L-26 4 8 26 mm AR-8835-26 3 6
28 mm AR-8827L-28 4 8 28 mm AR-8835-28 3 6
30 mm AR-8827L-30 4 8 30 mm AR-8835-30 3 6
32 mm AR-8835-32 * 4
34 mm AR-8835-34 * 4
2.7 mm Low Profile Screw, Nonlocking, Cortical 35 mm AR-8835-35 3 N/A
10 mm AR-8827-10 3 3 36 mm AR-8835-36 * 4
12 mm AR-8827-12 3 3 38 mm AR-8835-38 * 4
14 mm AR-8827-14 3 3 40 mm AR-8835-40 3 4
16 mm AR-8827-16 3 3 42 mm AR-8835-42 * 4
18 mm AR-8827-18 3 3 44 mm AR-8835-44 * 4
20 mm AR-8827-20 3 3 45 mm AR-8835-45 3 4
22 mm AR-8827-22 3 3 46 mm AR-8835-46 * 4
24 mm AR-8827-24 3 3 48 mm AR-8835-48 * 4
26 mm AR-8827-26 3 3 50 mm AR-8835-50 3 4
28 mm AR-8827-28 3 3 52 mm AR-8835-52** * 4
30 mm AR-8827-30 3 3 54 mm AR-8835-54** * 4
32 mm AR-8827-32 3 3 55 mm AR-8835-55 3 4
34 mm AR-8827-34 3 3 56 mm AR-8835-56** * 4
36 mm AR-8827-36 3 2 58 mm AR-8835-58** * 4
38 mm AR-8827-38 2 2 60 mm AR-8835-60 3 4
40 mm AR-8827-40 2 2
42 mm AR-8827-42 2 2
3.5 mm Low Profile Screw, Locking
44 mm AR-8827-44 2 2
46 mm AR-8827-46 2 2 10 mm AR-8835L-10 6 6
48 mm AR-8827-48 2 2 12 mm AR-8835L-12 6 6
50 mm AR-8827-50 2 2 14 mm AR-8835L-14 6 6
52 mm AR-8827-52 2 2 16 mm AR-8835L-16 6 6
54 mm AR-8827-54 2 2 18 mm AR-8835L-18 3 6
56 mm AR-8827-56 2 2 20 mm AR-8835L-20 3 6
60 mm AR-8827-60 2 2 22 mm AR-8835L-22 * 6
24 mm AR-8835L-24 * 6
26 mm AR-8835L-26 * 6
3 mm Low Profile Screw, Cancellous 28 mm AR-8835L-28 * 6
10 mm AR-8830-10 4 5 30 mm AR-8835L-30 * 6
12 mm AR-8830-12 4 5 32 mm AR-8835L-32 * 6
14 mm AR-8830-14 4 5 34 mm AR-8835L-34 * 6
16 mm AR-8830-16 4 5 36 mm AR-8835L-36 * 6
18 mm AR-8830-18 4 5 38 mm AR-8835L-38 * 6
20 mm AR-8830-20 4 5 40 mm AR-8835L-40 * 6
22 mm AR-8830-22 4 5 42 mm AR-8835L-42 * 6
24 mm AR-8830-24 4 5 44 mm AR-8835L-44 * 6
26 mm AR-8830-26 4 5 45 mm AR-8835L-45 * 6
28 mm AR-8830-28 4 5 46 mm AR-8835L-46 * 6
30 mm AR-8830-30 4 5 48 mm AR-8835L-48 * 6
50 mm AR-8835L-50 * 6

* Housed in auxiliary Ankle Fracture Screw Case only, AR-89434C--31

** Sterile
 RECOMMENDED SET RECOMMENDED SET RECOMMENDED SET RECOMMENDED SET
Implants LENGTH PRODUCT # Implants LENGTH PRODUCT #
CONTENT, AR-8943C CONTENT, AR-8943C-31 CONTENT, AR-8943C CONTENT, AR-8943C-31

4 mm Low Profile Screw, Nonlocking, Cancellous 4 mm Low Profile Screw, Long Thread, Cannulated
10 mm AR-8840-10 3 6 30 mm AR-8840CL-30 4 4
12 mm AR-8840-12 3 6 32 mm AR-8840CL-32 * 4
14 mm AR-8840-14 3 6 34 mm AR-8840CL-34 * 4
16 mm AR-8840-16 3 6 35 mm AR-8840CL-35 4 N/A
18 mm AR-8840-18 3 6 36 mm AR-8840CL-36 * 4
20 mm AR-8840-20 3 6 38 mm AR-8840CL-38 * 4
22 mm AR-8840-22 3 6 40 mm AR-8840CL-40 4 4
24 mm AR-8840-24 3 6 42 mm AR-8840CL-42 * 4
26 mm AR-8840-26 * 6 44 mm AR-8840CL-44 * 4
28 mm AR-8840-28 * 6 45 mm AR-8840CL-45 4 N/A
30 mm AR-8840-30 * 6 46 mm AR-8840CL-46 * 4
32 mm AR-8840-32 * 3 48 mm AR-8840CL-48 * 4
34 mm AR-8840-34 * 3 50 mm AR-8840CL-50 4 4
36 mm AR-8840-36 * 3 55 mm AR-8840CL-55 4 4
38 mm AR-8840-38 * 3 60 mm AR-8840CL-60 4 4
40 mm AR-8840-40 * 3
4 mm Low Profile Screw, Short Thread
42 mm AR-8840-42 * 3
44 mm AR-8840-44 * 3 30 mm AR-8840P-30 * 3
45 mm AR-8840-45 * 3 32 mm AR-8840P-32 * 3
46 mm AR-8840-46 * 3 34 mm AR-8840P-34 * 3
48 mm AR-8840-48 * 3 36 mm AR-8840P-36 * 3
50 mm AR-8840-50 * 3 38 mm AR-8840P-38 * 3
55 mm AR-8840-55 * 3 40 mm AR-8840P-40 * 3
60 mm AR-8840-60 * 3 42 mm AR-8840P-42 * 3
44 mm AR-8840P-44 * 3
46 mm AR-8840P-46 * 3
4 mm Low Profile Screw, Short Thread, Cannulated 48 mm AR-8840P-48 * 3
30 mm AR-8840C-30 4 4 50 mm AR-8840P-50 * 3
32 mm AR-8840C-32 * 4 55 mm AR-8840P-55 * 3
34 mm AR-8840C-34 * 4 60 mm AR-8840P-60 * 3
35 mm AR-8840C-35 4 N/A
36 mm AR-8840C-36 * 4
4 mm Low Profile Screw, Long Thread
38 mm AR-8840C-38 * 4
40 mm AR-8840C-40 4 4 30 mm AR-8840PL-30 * 3
42 mm AR-8840C-42 * 4 32 mm AR-8840PL-32 * 3
44 mm AR-8840C-44 * 4 34 mm AR-8840PL-34 * 3
45 mm AR-8840C-45 4 N/A 36 mm AR-8840PL-36 * 3
46 mm AR-8840C-46 * 4 38 mm AR-8840PL-38 * 3
48 mm AR-8840C-48 * 4 40 mm AR-8840PL-40 * 3
50 mm AR-8840C-50 4 4 42 mm AR-8840PL-42 * 3
55 mm AR-8840C-55 4 4 44 mm AR-8840PL-44 * 3
60 mm AR-8840C-60 4 4 46 mm AR-8840PL-46 * 3
48 mm AR-8840PL-48 * 3
50 mm AR-8840PL-50 * 3
55 mm AR-8840PL-55 * 3
60 mm AR-8840PL-60 * 3

RECOMMENDED
Washer DIAMETER PRODUCT # SET CONTENT

Washer 7 mm AR-8870W 6
Inventory Control Form: Ankle Fracture Management—AR-8943S
© 2014, Arthrex Inc. (USA) LF1-0439-EN_F; To Order Call: 1-800-934-4404 or Fax: 800-643-9310

Patient Information: Date:

Hospital:

Surgeon:

Locking Third Tubular Plate Locking Straight Plates

QTY PRODUCT # HOLES PRICE LOT # QTY PRODUCT # HOLES PRICE LOT #

AR-8943T-04 4 AR-8943C-04 4
AR-8943T-05 5 AR-8943C-06 6
AR-8943T-06 6 AR-8943C-07 7
AR-8943T-07 7 AR-8943C-08 8
AR-8943T-08 8 AR-8943C-10 10
AR-8943T-10 10 AR-8943C-12 12
AR-8943T-12 12

Locking Lateral Hook Plate Locking Medial Hook Plate

QTY PRODUCT # HOLES PRICE LOT # QTY PRODUCT # HOLES PRICE LOT #

AR-8943TH-03 3 AR-8943H-03 3
AR-8943TH-05 5 AR-8943H-05 5
AR-8943TH-07 7 AR-8943H-07 7

Locking Distal Fibula Plate, Left Locking Distal Fibula Plate, Right
QTY PRODUCT # HOLES PRICE LOT # QTY PRODUCT # HOLES PRICE LOT #

AR-8943BL-04 4 AR-8943BR-04 4
AR-8943BL-05 5 AR-8943BR-05 5
AR-8943BL-06 6 AR-8943BR-06 6
AR-8943BL-08 8 AR-8943BR-08 8
AR-8943BLS-10** 10 AR-8943BRS-10** 10
AR-8943BLS-12** 12 AR-8943BRS-12** 12
AR-8943BLS-14 ** 14 AR-8943BRS-14** 14

TightRope Syndesmosis Repair Kit Washer

QTY PRODUCT # DESCRIPTION PRICE LOT # QTY PRODUCT # DIAMETER PRICE

AR-8921CDS TightRope Syndesmosis AR-8870W 7 mm

AR-8926SS Knotless

Accessories Drill Bits

QTY PRICE PRODUCT # DESCRIPTION QTY PRICE PRODUCT # DIAMETER DESCRIPTION

AR-8943-01 Guidewire w/Trocar Tip, .053” (1.35 x 150 mm) AR-8943-16 2 mm Drill Bit, graduated
AR-8943-38 Guidewire w/Trocar Tip, threaded, .053” (1.35 x 150 mm) AR-8943-13 2.5 mm Drill Bit, graduated
AR-8941K Guidewire w/Trocar Tip, .062” (1.6 x 150 mm) AR-8943-02 2.6 mm Drill Bit, cannulated
AR-8945K Guidewire w/Trocar Tip, .078” (2 x 130 mm) AR-8943-30 2.5 mm Drill Bit
AR-13226 BB-Tak AR-8943-36 3 mm Drill Bit
AR-13226T BB-Tak, threaded AR-4160-35 3.5 mm Drill Bit
AR-8943-42 2.5 mm Drill Bit, graduated, laser marked at 3.5˝
AR-8827D-01 2.7 mm Drill Bit

**Sterile
Inventory Control Form: Ankle Fracture Management—AR-8943S
© 2014, Arthrex Inc. (USA) LF1-0439-EN_F; To Order Call: 1-800-934-4404 or Fax: 800-643-9310

Low Profile Screws™, Stainless Steel:

2.7 mm, Locking 3 mm, Cancellous 3.5 mm, Cortical 3.5 mm, Locking
QTY PRODUCT # LENGTH QTY PRODUCT # LENGTH QTY PRODUCT # LENGTH QTY PRODUCT # LENGTH

AR-8827L-10 10 mm AR-8830-10 10 mm AR-8835-10 10 mm AR-8835L-10 10 mm

AR-8827L-12 12 mm AR-8830-12 12 mm AR-8835-12 12 mm AR-8835L-12 12 mm
AR-8827L-14 14 mm AR-8830-14 14 mm AR-8835-14 14 mm AR-8835L-14 14 mm
AR-8827L-16 16 mm AR-8830-16 16 mm AR-8835-16 16 mm AR-8835L-16 16 mm
AR-8827L-18 18 mm AR-8830-18 18 mm AR-8835-18 18 mm AR-8835L-18 18 mm
AR-8827L-20 20 mm AR-8830-20 20 mm AR-8835-20 20 mm AR-8835L-20 20 mm
AR-8827L-22 22 mm AR-8830-22 22 mm AR-8835-22 22 mm AR-8835L-22* 22 mm
AR-8827L-24 24 mm AR-8830-24 24 mm AR-8835-24 24 mm AR-8835L-24* 24 mm
AR-8827L-26 26 mm AR-8830-26 26 mm AR-8835-26 26 mm AR-8835L-26* 26 mm
AR-8827L-28 28 mm AR-8830-28 28 mm AR-8835-28 28 mm AR-8835L-28* 28 mm
AR-8827L-30 30 mm AR-8830-30 30 mm AR-8835-30 30 mm AR-8835L-30* 30 mm
2.7 mm Nonlocking, Cortical 4 mm Nonlocking, Cancellous AR-8835-32* 32 mm AR-8835L-32* 32 mm
QTY PRODUCT # LENGTH QTY PRODUCT # LENGTH AR-8835-34* 34 mm AR-8835L-34* 34 mm
AR-8827-10 10 mm AR-8840-10 10 mm AR-8835-35 35 mm AR-8835L-36* 36 mm
AR-8827-12 12 mm AR-8840-12 12 mm AR-8835-36* 36 mm AR-8835L-38* 38 mm
AR-8827-14 14 mm AR-8840-14 14 mm AR-8835-38* 38 mm AR-8835L-40* 40 mm
AR-8827-16 16 mm AR-8840-16 16 mm AR-8835-40 40 mm AR-8835L-42* 42 mm
AR-8827-18 18 mm AR-8840-18 18 mm AR-8835-42* 42 mm AR-8835L-44* 44 mm
AR-8827-20 20 mm AR-8840-20 20 mm AR-8835-44* 44 mm AR-8835L-45* 45 mm
AR-8827-22 22 mm AR-8840-22 22 mm AR-8835-45 45 mm AR-8835L-46* 46 mm
AR-8827-24 24 mm AR-8840-24 24 mm AR-8835-46* 46 mm AR-8835L-48* 48 mm
AR-8827-26 26 mm AR-8840-26* 26 mm AR-8835-48* 48 mm AR-8835L-50* 50 mm
AR-8827-28 28 mm AR-8840-28* 28 mm AR-8835-50 50 mm
AR-8827-30 30 mm AR-8840-30* 30 mm AR-8835-52* 52 mm
AR-8827-32 32 mm AR-8840-32* 32 mm AR-8835-54* 54 mm
AR-8827-34 34 mm AR-8840-34* 34 mm AR-8835-55 55 mm
AR-8827-36 36 mm AR-8840-36* 36 mm AR-8835-56* 56 mm
AR-8827-38 38 mm AR-8840-38* 38 mm AR-8835-58* 58 mm
AR-8827-40 40 mm AR-8840-40* 40 mm AR-8835-60 60 mm
AR-8827-42 42 mm AR-8840-42* 42 mm
AR-8827-44 44 mm AR-8840-44* 44 mm
AR-8827-46 46 mm AR-8840-45* 45 mm
AR-8827-48 48 mm AR-8840-46* 46 mm
AR-8827-50 50 mm AR-8840-48* 48 mm
AR-8827-52 52 mm AR-8840-50* 52 mm
AR-8827-54 54 mm AR-8840-55* 55 mm
AR-8827-56 56 mm AR-8840-60* 60 mm
AR-8827-60 60 mm

*Housed in auxiliary Ankle Fracture Screw Set only, AR-8943C-31. Codes without* are housed in both AR-8943C and AR-8943C-31.
Inventory Control Form: Ankle Fracture Management—AR-8943S
© 2014, Arthrex Inc. (USA) LF1-0439-EN_F; To Order Call: 1-800-934-4404 or Fax: 800-643-9310

Low Profile Screws, Stainless Steel:

4 mm, Short Thread 4 mm, Long Thread 4 mm, Short Thread, Cannulated 4 mm, Long Thread, Cannulated
QTY PRODUCT # LENGTH QTY PRODUCT # LENGTH QTY PRODUCT # LENGTH QTY PRODUCT # LENGTH

AR-8840P-30* 30 mm AR-8840PL-30* 30 mm AR-8840C-30 30 mm AR-8840CL-30 30 mm

AR-8840P-32* 32 mm AR-8840PL-32* 32 mm AR-8840C-32* 32 mm AR-8840CL-32* 32 mm
AR-8840P-34* 34 mm AR-8840PL-34* 34 mm AR-8840C-34* 34 mm AR-8840CL-34* 34 mm
AR-8840P-36* 36 mm AR-8840PL-36* 36 mm AR-8840C-35 35 mm AR-8840CL-35 35 mm
AR-8840P-38* 38 mm AR-8840PL-38* 38 mm AR-8840C-36* 36 mm AR-8840CL-36* 36 mm
AR-8840P-40* 40 mm AR-8840PL-40* 40 mm AR-8840C-38* 38 mm AR-8840CL-38* 38 mm
AR-8840P-42* 42 mm AR-8840PL-42* 42 mm AR-8840C-40 40 mm AR-8840CL-40 40 mm
AR-8840P-44* 44 mm AR-8840PL-44* 44 mm AR-8840C-42* 42 mm AR-8840CL-42* 42 mm
AR-8840P-46* 46 mm AR-8840PL-46* 46 mm AR-8840C-44* 44 mm AR-8840CL-44* 44 mm
AR-8840P-48* 48 mm AR-8840PL-48* 48 mm AR-8840C-45 45 mm AR-8840CL-45 45 mm
AR-8840P-50* 50 mm AR-8840PL-50* 50 mm AR-8840C-46* 46 mm AR-8840CL-46* 46 mm
AR-8840P-55* 55 mm AR-8840PL-55* 55 mm AR-8840C-48* 48 mm AR-8840CL-48* 48 mm
AR-8840P-60* 60 mm AR-8840PL-60* 60 mm AR-8840C-50 50 mm AR-8840CL-50 50 mm
AR-8840C-55 55 mm AR-8840CL-55 55 mm
AR-8840C-60 60 mm AR-8840CL-60 60 mm

*Housed in auxiliary Ankle Fracture Screw Set only, AR-8943C-31. Codes without* are housed in both AR-8943C and AR-8943C-31.
 For more information:
http://www.anklefxsystem.arthrex.com

This description of technique is provided as an educational tool and clinical aid to assist properly licensed
medical professionals in the usage of specific Arthrex products. As part of this professional usage, the medical
professional must use their professional judgment in making any final determinations in product usage and
technique. In doing so, the medical professional should rely on their own training and experience and should
conduct a thorough review of pertinent medical literature and the product’s Directions For Use.

U.S. PATENT NOS. 6,716,234, 8,425,554

©2014, Arthrex Inc. All rights reserved. LB1-0439-EN_E