Ankle Fracture System

Product Information
Content
Introduction������������������������������������������������������������������������������������������������������������������������������������ 05

Complex Fibula Fracture Plates���������������������������������������������������������������������������������������������������� 06

Locking Third Tubular Plates��������������������������������������������������������������������������������������������������������� 08

Non-Locking Third Tubular Plates�������������������������������������������������������������������������������������������������� 10

Reconstruction Plates��������������������������������������������������������������������������������������������������������������������� 12

Locking Medial Hook Plates����������������������������������������������������������������������������������������������������������� 14

Locking Lateral Hook Plates����������������������������������������������������������������������������������������������������������� 16

The Set for Ankle Fracture Treatment�������������������������������������������������������������������������������������������� 18

Ankle Fracture System������������������������������������������������������������������������������������������������������������������ 20

Ankle Fracture System – Instruments��������������������������������������������������������������������������������������������� 21

Ankle Fracture System – Implants������������������������������������������������������������������������������������������������� 22

Ankle Fracture System – Supporting Products������������������������������������������������������������������������������ 26

Content I 03
Arthrex would like to thank Todd Oliver, M.D., our lead surgical
developer, and all others who made important contributions
to the development of the system for the treatment of ankle
fractures:
Brent Brotzman, M.D., Jorge Acevedo, M.D., James Cottom,
D.P.M. and Mark Hardy, D.P.M.
Introduction

Ankle fractures are frequently complicated by variables This allows for easier and faster implantation, while
out of the surgeon’s control. The amount of comminution, negating the need for more expensive “variable angle”
degree of osteoporosis, location of the fracture and size of locking plates and screws. Included in the set are a variety
the patient can all lead to challenging obstacles. The ankle of fracture-specific plates engineered to address even
fracture system, as a comprehensive set, is designed the most difficult fracture patterns. These include locking
to treat these common injuries. Improved basic small third tubular plates, 3.5 mm reconstruction plates, locking
fragment implants and instruments, anatomic plates and medial and lateral hook plates and complex fibula fracture
locking screws enable reliable and effective treatment of plates.
most fracture patterns.
All plates designed for use on the fibula are modified so
This set was designed to give the surgeon the arma- that they facilitate use of the TightRope or syndesmotic
mentarium to more effectively address any patient /injury adjusting screws for the stabilization of associated liga-
pattern encountered. Significant time and research were mentous injuries.
invested to develop anatomic plates, with specific empha-
sis placed on determining the appropriate angle of the
locked screws.

Introduction I 05
Complex Fibula Fracture Plates

The complex fibula fracture plates, otherwise known as The divergent angulation of the screw holes increases the
the locking distal fibular plates, are designed for use in the biomechanical stability and thus ensures an even more
most challenging lateral malleolus fractures. The distal secure fixation. The shaft portion of the plate thickens
portion or head of the plate thins and spreads to encom- to improve rigidity and strength, and the multifunctional
pass a large portion of the lateral malleolus. The distal end screw holes allow for multiple screw options. As with all of
of the plate is fixed with 2.7 mm locking screws or 3 mm the fibular plates, there are recessed screw holes and a
cancellous screws, making this plate ideal for patients with scalloped perimeter which allow for easier contouring and
highly comminuted lateral malleolus fractures, osteoporotic knotless TightRope / screw placement outside of the plate,
bone, obesity, or open injuries with associated bone loss. as necessary.

■ Simplified Percutaneous Introduction

The tapered proximal end facilitates percutaneous
introduction on the fibula shaft.

■ Correct Drill Angle

The 35° cut-out in the frontal plane enables the correct
drilling angle for the syndesmotic adjusting screw or the
knotless TightRope.

■ Very Good Fit

Anatomic prebending provides a very good fit.
Locking distal
fibula plate
■ Optimal Placement of the Knotless TightRope® or AR-8943BL-06
Syndesmotic Screws
Because of the wavelike plate design, these can be
placed next to the plate, if necessary.

■ Secure Fixation in Soft Bone

Five divergent distal 2.7 mm locking screw holes enable
secure fixation in soft bone.

Aiming Adapter Knotless TightRope ®

Locking distal fibula plate

AR-8943BL-04 to -08 (Sizes 4-, 5-, 6-, 8-hole / left)
AR-8943BR-04 to -08 (Sizes 4-, 5-, 6-, 8-hole / right)
AR-8943BLS-10 to -14 (Sizes 10-, 12-, 14-hole / left)
AR-8943BRS-10 to -14 (Sizes 10-, 12-, 14-hole / right)

06 I Complex Fibula Fracture Plates

Description of Technique
Locking Distal Fibula Plate

1 2

Reduce the fracture and apply interfragmentary (lag) Fix the plate distally with 2.7 mm locking screws or 3 mm
screws if appropriate. Secure the plate to the fibula proxi- cancellous screws. The remaining proximal screw holes
mally using either a 3.5 mm non-locking cortical screw or accept 3.5 mm non-locking cortical, 4 mm cancellous, or
4 mm cancellous screw. 3.5 mm locking screws.

■ Drill guide marked in yellow for 3.5 mm screws

(2.5 mm drill bit with yellow marking)

■ Drill guide marked in red for 2.7 mm screw

(2 mm drill bit with red marking)

If the syndesmosis needs to be treated, this can be

performed using the screw holes with a recessed edge or
next to the plate with the TightRope system or an adjusting
screw. Since the screw holes have a recessed edge, the
round plate of the TightRope system sits flush with the
plate. The scalloped design also allows for the TightRope
placement to be posterior to the plate, if necessary.

Complex Fibula Fracture Plates I 07

Locking Third Tubular Plates

Low profile plates are designed for use with the majority ■ Variable Screw Placement
of fibular fractures. The scalloped design allows for All screw holes can accept 3.5 mm locking screws,
easier contouring. In addition, they allow a syndesmosis 3.5 mm cortical screws and 4 mm cancellous screws.
TightRope to be placed. The arched shape makes the
■ Simplified Percutaneous Introduction
plate more stable under a load and at the same time, it
The tapered proximal end facilitates percutaneous
reduces the supporting surface on the periosteum, which
insertion.
safeguards the blood supply. All screw holes can accept
3.5 mm cortical screws, 3.5 mm locking screws or 4 mm ■ Easy Plate Bending
cancellous screws. Nested slots at the screw holes lessen The flat profile of the plate and the wavelike plate edge
screw head prominence and allow the TightRope’s circular enable easy bending.
button to fit snugly.
■ Universal Placement in the Plate Holes
All screw holes can accept a syndesmosis TightRope or
a metal screw.

■ Easy Instrument Handling

The drill sleeve and the 2.5 mm drill bit with yellow
marking are used for the 3.5 mm locking screws.

Locking third tubular plate

AR-8943T-07

Locking third tubular plate

AR-8943T-04 to -12 (Sizes 4-, 5-, 6-, 7-, 8-, 10-, 12-hole)

08 I Locking Third Tubular Plates

Description of Technique
Locking Third Tubular Plates

3.5 mm 4 mm 3.5 mm cortical

locking screw cancellous screw screw

Several alternatives for screw fixation

a)

b)

TightRope fixation
a) via the plate; b) posterior placement

Locking Third Tubular Plates I 09

Non-Locking Third Tubular Plates
Non-Locking Third Tubular Plates

Non-locking third tubular plates are very frequently used ■ Standard Treatment Option
for fracture treatment. They represent a more cost- This option is made possible by the non-locking third
effective standard variant in comparison to the locking tubular plates which are available in the same lengths
anatomic ankle plates and the locking third tubular plate. (4 - 12 holes).
Observational studies have shown that in approx. 30 %
of cases, a locking anatomic plate is indicated, but in
approx. 70 % of cases, a non-locking third tubular plate is
sufficient. With this plate option, we offer the surgeon the
possibility of the complete treatment of ankle fractures.

Non-locking third tubular plate

750.423.006

AR-8943C-04 to -12
Set with non-locking third tubular plates, sizes 4-, 5-, 6-, 7-, 8-, 10-, 12-hole
750.423.004, 750.423.005, 750.423.006, 750.423.007, 750.423.008, 750.423.010, 750.423.012

10 I Non-Locking Third Tubular Plates

Description of Technique
4 mm Cannulated Cancellous Screws with Short Thread

1 1a

2 2a

Use the parallel drill guide to accurately place two guide wires. Then use the other side of the drill sleeve to drill with the
cannulated 2.6 mm drill bit. Both short- and long-threaded versions of the cancellous screws are available.

Note: It is recommended that medial malleolus fixation is performed prior to TightRope placement to avoid cutting the
FiberWire with drills and screws.

Non-Locking Third Tubular Plates I 11

Reconstruction Plates

The locking straight plates are thicker and more stable ■ Simplified Percutaneous Introduction
under a load than the locking third tubular plates or distal The tapered proximal end facilitates percutaneous
fibula plates. They are designed for comminuted fractures insertion.
in the area of the fibula shaft, larger athletes and obese
■ Variable Screw Placement
patients. The scalloped design allows for easier
All screw holes can accept 3.5 mm locking screws,
contouring. Like the third tubular plates, all recessed
3.5 mm cortical screws and 4 mm cancellous screws.
screw holes accept locking or non-locking screws,
reducing screw head prominence. ■ Easy Plate Bending
The flat profile of the plate and the wavelike plate edge
enable easy bending.

■ Universal Placement in the Plate Holes Possible

All screw holes can accept a syndesmosis TightRope or
a metal screw.

Locking straight plate

AR-8943C-08

Locking straight plate

AR-8943C-04 to -12 (Sizes 4-, 6-, 7-, 8-, 10-, 12-hole)

12 I Reconstruction Plates
Description of Technique
Reconstruction Plates

1 2

All shaft holes allow 3.5 mm locking, 3.5 mm non-locking If syndesmosis stabilization is required, it is important to
and 4 mm cancellous screw placement. The yellow laser- appropriately angle the fixation device chosen (TightRope
marked threaded drill guide and long, laser-marked 2.5 mm or screw), ensuring proper reduction of the syndesmotic
drill bit are required for the use of the locking screw. These joint. This typically requires about 30º of anterior angula-
screws should be placed only after any non-locking screws tion, towards a more anteromedial position in the distal
are inserted. tibia. If desired, the TightRope can be used outside of the
plate for an even lower profile construct.

Note: If two TightRopes are used, slightly divergent angles

are recommended.

2a 2b

Alternatives for syndesmosis fixation

Reconstruction Plates I 13
Locking Medial Hook Plates

The locking medial hook plate is designed to treat extreme ■ Simplified Percutaneous Introduction
distal or comminuted medial malleolus fractures. The The tapered proximal end facilitates percutaneous
two-hooked distal prongs are designed to incorporate insertion.
the deltoid ligament attachment, affording secure fixation
of these small fragments. The prongs are spaced and ■ Variable Screw Placement
recessed appropriately to allow for placement of a 4 mm All screw holes can accept 3.5 mm locking screws,
cancellous screw, if desired. As these small fragments 3.5 mm cortical screws and 4 mm cancellous screws.
typically do not permit the placement of two 4 mm screws,
this plate improves the strength of fixation and improves
■ Simple Fixation
rotational control. 3.5 mm cortical screws, 3.5 mm locking
The hooks of the plates enable simple fixation of
screws and 4 mm cancellous screws can be inserted in the
the distal fragment and the attachment of the deltoid
proximal screw holes.
ligament.

Locking medial hook plate

AR-8943H-03 to -07 (Sizes 3-, 5-, 7-hole)

14 I Locking Medial Hook Plates

Description of Technique
Locking Medial Hook Plates

The groove between the hooks can be 3.5 mm non-locking cortical, 3.5 mm locking, or 4 mm
filled with 4 mm cancellous screws cancellous screws may be used in proximal plate holes

1 2 3

Insert the hooks in the deltoid ligament Insert the partially threaded 4 mm When using 3.5 mm locking screws,
near its attachment onto the medial cancellous screw through distal the drill guide with yellow marking is
malleolus. The surgeon has multiple hooks to compress the fracture prior required.
options during the initial phase of plate to proximal screw tightening. Use a
placement. A 2.5 mm / 2.6 mm drill is metal tamp to impact the tines prior Note: Impaction of the tines into
used prior to placement of a 3.5 mm to screw placement, if desired. bone is NOT mandatory, and is not
non-locking or 4 mm cancellous screw required to achieve adequate stability
in the superior aspect of the oblong of the distal fragment. It is acceptable
hole, tightening only after compression to leave the hooks jutting out slightly.
across the fracture has been achieved.

Or:

1 2 3

Using a bone tamp, bring the plate Screw the 4 mm cancellous screw In the shaft area, 3.5 mm locking
into the desired position. The surgeon with partial thread into the bone screws, 3.5 mm cortical screws and
achieves the desired hook compres- between the hooks until the plate is 4 mm cancellous screws can be used.
sion with the 4 mm cancellous screw. anchored in the bone and is rotation-
It is often helpful to temporarily ally stable.
stabilize the fracture with a guide wire
which is inserted prior to positioning
the plate at the expected location of
the cannulated screw.

Locking Medial Hook Plates I 15

Locking Lateral Hook Plates

The anatomic, low profile plate is designed to treat fibular ■ Variable Screw Placement
fractures with extreme distal extension. The plate is The proximal screw holes can accept 3.5 mm locking
anatomically designed to fit the lateral aspect of the fibula, screws, 3.5 mm cortical screws and 4 mm cancellous
with 2.7 mm locking screw holes in the distal portion for screws.
more reliable fixation (3 mm non-locking cancellous screws
are also available). The two hooked, distal prongs are ■ Individual Placement of the Inner Slot for Dynamic
designed to incorporate the calcaneal fibular ligament Compression
attachment (akin to using the rotator cuff in assisting 3.5 mm cortical screws and 4 mm cancellous screws can
greater tuberosity fixation in the shoulder). These prongs be used.
are spaced and recessed appropriately to allow placement
of a 4 mm cancellous screw, if desired.
■ Treatment of Weber Type A Avulsion Fractures as well
as Fibular Fractures with Extreme Distal Extension with
the Hooks on the Plate
A cancellous screw can optionally be inserted between
these to compress the fracture.

■ Secure Fixation in Soft Bone

Four distal screw holes for 2.7 mm locking screws enable
secure fixation in soft bone.

PEEK aiming adapter

Locking lateral hook plate

AR-8943TH-03 to -07 (Sizes 3-, 5-, 7-hole)

16 I Locking Lateral Hook Plates

Description of Technique
Locking Lateral Hook Plates

Angled 2.7 mm locking screws The groove between the hooks can be
(optional 3 mm cancellous screws) filled with 4 mm cancellous screws

1 2

Insert the hooks in the calcaneofibular ligament near its Place a 4 mm cancellous screw through the distal hooks
attachment onto the lateral malleolus. The surgeon has to seat the plate. This screw does not need to cross the
multiple options during the initial phase of plate placement. fracture site; use the 2.6 mm cannulated drill bit for the pilot
A 2.5 mm / 2.6 mm drill guide is used prior to placement of a hole. Use a metal tamp to impact the tines prior to screw
3.5 mm non-locking or 4 mm cancellous screw in the placement, if desired.
superior aspect of the oblong hole, tightening only after
compression across the fracture has been achieved. Note: Impaction of the tines into bone is not mandatory,
and is NOT required to achieve adequate stability of the
distal fragment.

3.5 mm cortical screws or 4 mm

cancellous screws

2.7 mm locking screws or 3 mm

cancellous screws

3 4

Locking screws should not be inserted until the desired The five distal screw holes accept 2.7 mm locking screws
non-locking screws have been placed. The proximal screw (which require the use of the red laser-marked, threaded
holes may be filled with 3.5 mm locking (which require the drill guide) or 3 mm cancellous screws, depending on
use of the yellow laser-marked, threaded drill guide and bone quality and surgeon preference. It is not typically
2.5 mm graduated drill bit), 3.5 mm non-locking cortical, or necessary for all distal screw holes to be filled.
4 mm cancellous screws as desired.

Locking Lateral Hook Plates I 17

The Set for Ankle Fracture Treatment

Ankle fracture system, AR-8943S

Ankle fracture screw case, AR-8943C-31

18 I The Set for Ankle Fracture Treatment

The Set for Ankle Fracture Treatment

The ankle fracture management system was designed Offering multiple fixation solutions, the ankle fracture
to give surgeons the ability to fix the majority of ankle distal tibia screw case (pictured below) is an auxiliary
fractures, while opening only one set. As described earlier, container which complements and may be added to the
the set contains five different locking / non-locking plates system to fulfill the needs of the surgeon when considering
and a wide variety of screws which should easily accom- more complex cases. The AR-8943C-31 case is currently
modate the most common ankle fracture cases. 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).

AR-8943C-31 contains the following screws:

2.7 mm locking screw
3 mm cancellous screws
3.5 mm locking screw
3.5 mm cortical screws
4 mm short thread
4 mm long thread
4 mm cannulated, short thread
4 mm cannulated, long thread
4 mm cancellous screws (screws available separately)

The Set for Ankle Fracture Treatment I 19

Ankle Fracture System

The ankle fracture system (AR-8943S)

includes all three of the following levels:

Level 3

Instrument tray with

Kirschner wires

Level 2

Implant caddy

Screw case with washers

Level 1

Instruments in case

Accessory

20 I Ankle Fracture System

Ankle Fracture System – Instruments

Instruments in AR-8943S Item No. Recommended Instruments in AR-8943S Item No. Recommended
Set Contents Set Contents

Use with 2.7 mm and 3 mm Screws Disposables

Screw driver, T10 hexalobe AR-8943-08 1 Washer, 7 mm AR-8870W 6
Driver shaft, T10 hexalobe, QC AR-8944DH 1 BB-Tak, threaded AR-13226T 4
Drill, graduated, 2 mm, reusable AR-8943-16-RU 2 Threaded guide wire w/trocar tip, AR-8943-38
Drill guide, threaded, low profile, 2.7 mm AR-8943-17 2 1.35 mm x 150 mm 6
Drill guide, 3 mm / 2 mm AR-8943-31 1 Guide wire w / trocar tip, 1.35 mm x 150 mm AR-8943-01 6
Drill, 3 mm AR-8943-36 2 Guide wire w / trocar tip, 1.6 mm x 150 mm AR-8941K 6
Use with 3.5 mm Cortical Screws and 4 mm Cancellous Screws Guide wire w / trocar tip, 2 mm x 150 mm AR-8945K 6
Optional
Bone tap, 4.0 mm AR-8940T
Countersink for 3.5 mm / 4 mm screws AR-8950-03 1 Verbrugge forceps w/speed lock AR-8943-39 *
T15 hexalobe driver AR-8943-10 1 Drill sleeve, 2 mm AR-8943-32 *
T15 hexalobe driver shaft AR-8941DH 1 Drill sleeve caddy AR-8943C-32 *
Drill, 3.5 mm, reusable AR-4160-35-RU 2
Accessories
Drill, graduated, long, 2.5 mm, reusable AR-8943-42-RU 2
Drill guide, 3.5 mm / 2.5 mm AR-8943-14 1 Screw case for 3 mm screws AR-8943C-30 *
Bone tap, 3.5 mm AR-8935T 1 Ankle fracture screw case AR-8943C-31 *
Drill guide, locking, 3.5 mm AR-8943-43 2
Drill sleeve insert, 2.5 mm AR-8943-27 1
Drill, 2.5 mm, reusable AR-8943-30-RU
Use with 4 mm Partially Threaded Cancellous Screws
Drill, cannulated, 2.6 mm, reusable AR-8943-02-RU 2
Drill guide, 2.6 mm / 1.35 mm AR-8943-03 1
Depth guide, cannulated AR-8943-04 1
T15 hexalobe driver, cannulated AR-8943-09 1
T15 hexalobe driver shaft, cannulated, QC AR-8943-12 1
Bone tap, cannulated, 4.0 mm AR-8943-06 1
Countersink, cannulated, 4 mm AR-8943-05 1
Parallel drill guide, 2.6 mm / 1.35 mm AR-8943-41 1
Common Instruments
Bone reduction forceps, curved, pointed AR-8943-07
Holding sleeve for 2.7, 3.5 and 4 mm screws AR-8943-11 2
Driver handle w/AO connection, cannulated AR-13221AOC 1
Large driver handle w/AO connection, cannulated, AR-8970RH 1
ratcheting 1
Depth guide, low profile, 2.7 mm / 3.5 mm / 4 mm AR-8943-15 1
Plate bending iron AR-8943-18
Freer elevator AR-8943-19 1
Periosteal elevator, 6 mm, curved AR-8943-20 1
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 1
Lobster claw, toothed AR-8943-23 2
Weber clamp AR-8943-24 1
Holding forceps for low profile cortical screw AR-8941F 1
BB-Tak AR-13226 4
Aiming adapter, locking distal fibula plate, right AR-8943-33 1
Aiming adapter, locking distal fibula plate, left AR-8943-34 1
Aiming adapter, locking lateral hook plate AR-8943-35 1
Tamp, hook plate AR-8943-28 1

Ankle Fracture System – Instruments I 21

Ankle Fracture System – Implants

3.5 mm Locking Reconstruction Plates

Locking Third Tubular Plates

Non-Locking Third Tubular Plates

Locking Complex Fibula Fracture Plates

Locking Fibula Hook Plates

Locking Medial Hook Plates

22 I Ankle Fracture System – Implants

Ankle Fracture System – Implants

Locking Distal Fibula Plate Locking Third Tubular Plate

Plates Number Length Item Number Recommended Plates Number Length Item Number Recommended
of Holes Set Contents of Holes Set Contents

Right 4 55 mm AR-8943T-04 2
4 79 mm AR-8943BR-04 2 5 63.5 mm AR-8943T-05 2
5 91 mm AR-8943BR-05 2 6 80 mm AR-8943T-06 2
6 104 mm AR-8943BR-06 2 7 93 mm AR-8943T-07 2
8 130 mm AR-8943BR-08 2 8 106 mm AR-8943T-08 2
10 155 mm AR-8943BRS-10 (sterile) ? 10 131 mm AR-8943T-10 2
12 180 mm AR-8943BRS-12 (sterile) ? 12 156 mm AR-8943T-12 2
14 204 mm AR-8943BRS-14 (sterile) ?
Left
Non-Locking Third Tubular Plate
4 79 mm AR-8943BL-04 2
5 91 mm AR-8943BL-05 2 Plates Number Length Item Number Recommended
6 104 mm AR-8943BL-06 2 of Holes Set Contents
8 130 mm AR-8943BL-08 2
4 49 mm 750.423.004 2
10 155 mm AR-8943BLS-10 (sterile) ?
5 61 mm 750.423.005 2
12 180 mm AR-8943BLS-12 (sterile) ?
6 73 mm 750.423.006 2
14 204 mm AR-8943BLS-14 (sterile) ?
7 85 mm 750.423.007 2
Sizing Template, Distal Fibula Plate - AR-8943BT 8 97 mm 750.423.008 2
10 121 mm 750.423.0010 2
12 145 mm 750.423.0012 2
Locking Straight Plate
Plates Number Length Item Number Recommended
Set Contents Locking Lateral Hook Plate
of Holes
Plates Number Length Item Number Recommended
4 55 mm AR-8943C-04 2
of Holes Set Contents
6 80 mm AR-8943C-06 2
7 93 mm AR-8943C-07 2 3 72 mm AR-8943TH-03 2
8 106 mm AR-8943C-08 2 5 98 mm AR-8943TH-05 2
10 131 mm AR-8943C-10 2 7 123 mm AR-8943TH-07 2
12 156 mm AR-8943C-12 2

Locking Medial Plate

Plates Number Length Item Number Recommended
of Holes Set Contents

3 61 mm AR-8943H-03 2
5 79 mm AR-8943H-05 2
7 97 mm AR-8943H-07 2

Ankle Fracture System – Implants I 23

Ankle Fracture System – Implants

Implants Length Item Number Recommended Recommended Implants Length Item Number Recommended Recommended
Set Contents Set Contents Set Contents Set Contents
AR-8943C AR-8943C-31 AR-8943C AR-8943C-31
2.7 mm Low Profile Locking Screw 3 mm Low Profile Screw Standard – Cancellous Bone
10 mm AR-8827L-10 4 8 10 mm AR-8830-10 4 5
12 mm AR-8827L-12 4 8 12 mm AR-8830-12 4 5
14 mm AR-8827L-14 4 8 14 mm AR-8830-14 4 5
16 mm AR-8827L-16 4 8 16 mm AR-8830-16 4 5
18 mm AR-8827L-18 4 8 18 mm AR-8830-18 4 5
20 mm AR-8827L-20 4 8 20 mm AR-8830-20 4 5
22 mm AR-8827L-22 4 8 22 mm AR-8830-22 4 5
24 mm AR-8827L-24 4 8 24 mm AR-8830-24 4 5
26 mm AR-8827L-26 4 8 26 mm AR-8830-26 4 5
28 mm AR-8827L-28 4 8 28 mm AR-8830-28 4 5
30 mm AR-8827L-30 4 8 30 mm AR-8830-30 4 5
32 mm AR-8827L-32 0 8
3.5 mm Low Profile Screw, Non-Locking, Cortical Bone
34 mm AR-8827L-34 0 8
36 mm AR-8827L-36 0 8 10 mm AR-8835-10 3 6
38 mm AR-8827L-38 0 8 12 mm AR-8835-12 6 6
40 mm AR-8827L-40 0 8 14 mm AR-8835-14 6 6
42 mm AR-8827L-42 0 8 16 mm AR-8835-16 6 6
44 mm AR-8827L-44 0 8 18 mm AR-8835-18 6 6
46 mm AR-8827L-46 0 8 20 mm AR-8835-20 3 6
48 mm AR-8827L-48 0 8 22 mm AR-8835-22 3 6
50 mm AR-8827L-50 0 8 24 mm AR-8835-24 3 6
52 mm AR-8827L-52 0 8 26 mm AR-8835-26 3 6
54 mm AR-8827L-54 0 8 28 mm AR-8835-28 3 6
56 mm AR-8827L-56 0 8 30 mm AR-8835-30 3 6
58 mm AR-8827L-58 0 8 32 mm AR-8835-32 * 4
60 mm AR-8827L-60 0 8 34 mm AR-8835-34 * 4
35 mm AR-8835-35 3 N/A
2.7 mm Low Profile Screw Non-Locking – Cortical Bone
36 mm AR-8835-36 * 4
10 mm AR-8827-10 3 3 38 mm AR-8835-38 * 4
12 mm AR-8827-12 3 3 40 mm AR-8835-40 3 4
14 mm AR-8827-14 3 3 42 mm AR-8835-42 * 4
16 mm AR-8827-16 3 3 44 mm AR-8835-44 * 4
18 mm AR-8827-18 3 3 45 mm AR-8835-45 3 4
20 mm AR-8827-20 3 3 46 mm AR-8835-46 * 4
22 mm AR-8827-22 3 3 48 mm AR-8835-48 * 4
24 mm AR-8827-24 3 3 50 mm AR-8835-50 3 4
26 mm AR-8827-26 3 3 52 mm AR-8835-52** * 4
28 mm AR-8827-28 3 3 54 mm AR-8835-54** * 4
30 mm AR-8827-30 3 3 55 mm AR-8835-55 3 4
32 mm AR-8827-32 3 3 56 mm AR-8835-56** * 4
34 mm AR-8827-34 3 3 58 mm AR-8835-58** * 4
36 mm AR-8827-36 3 2 60 mm AR-8835-60 3 4
38 mm AR-8827-38 2 2 65 mm AR-8835-65 0 4
40 mm AR-8827-40 2 2 70 mm AR-8835-70 0 4
42 mm AR-8827-42 2 2 75 mm AR-8835-75 0 4
44 mm AR-8827-44 2 2 80 mm AR-8835-80 0 4
46 mm AR-8827-46 2 2
48 mm AR-8827-48 2 2
50 mm AR-8827-50 2 2
52 mm AR-8827-52 2 2
54 mm AR-8827-54 2 2
56 mm AR-8827-56 2 2
58 mm AR-8827-58 2 2
60 mm AR-8827-60 2 2

* Included in auxiliary ankle fracture screw case only, AR-89434C--31

** Sterile

24 I Ankle Fracture System – Implants

Ankle Fracture System – Implants

Implants Length Item Number Recommended Recommended Implants Length Item Number Recommended Recommended
Set Contents Set Contents Set Contents Set Contents
AR-8943C AR-8943C-31 AR-8943C AR-8943C-31
3.5 mm Low Profile Screw, Locking 4 mm Low Profile Screw, Long Thread, Cannulated
10 mm AR-8835L-10 6 6 30 mm AR-8840CL-30 4 4
12 mm AR-8835L-12 6 6 32 mm AR-8840CL-32 * 4
14 mm AR-8835L-14 6 6 34 mm AR-8840CL-34 * 4
16 mm AR-8835L-16 6 6 35 mm AR-8840CL-35 4 N/A
18 mm AR-8835L-18 3 6 36 mm AR-8840CL-36 * 4
20 mm AR-8835L-20 3 6 38 mm AR-8840CL-38 * 4
22 mm AR-8835L-22 * 6 40 mm AR-8840CL-40 4 4
24 mm AR-8835L-24 * 6 42 mm AR-8840CL-42 * 4
26 mm AR-8835L-26 * 6 44 mm AR-8840CL-44 * 4
28 mm AR-8835L-28 * 6 45 mm AR-8840CL-45 4 N/A
30 mm AR-8835L-30 * 6 46 mm AR-8840CL-46 * 4
32 mm AR-8835L-32 * 6 48 mm AR-8840CL-48 * 4
34 mm AR-8835L-34 * 6 50 mm AR-8840CL-50 4 4
36 mm AR-8835L-36 * 6 55 mm AR-8840CL-55 4 4
38 mm AR-8835L-38 * 6 60 mm AR-8840CL-60 4 4
40 mm AR-8835L-40 * 6
4 mm Low Profile Screw, Short Thread
42 mm AR-8835L-42 * 6
44 mm AR-8835L-44 * 6 30 mm AR-8840P-30 * 3
45 mm AR-8835L-45 * 6 32 mm AR-8840P-32 ** 3
46 mm AR-8835L-46 * 6 34 mm AR-8840P-34 * 3
48 mm AR-8835L-48 * 6 35 mm AR-8840P-35 * 3
50 mm AR-8835L-50 * 6 36 mm AR-8840P-36 * 3
38 mm AR-8840P-38 * 3
4 mm Low Profile Screw Standard – Cancellous Bone
40 mm AR-8840P-40 * 3
10 mm AR-8840-10 3 6 42 mm AR-8840P-42 * 3
12 mm AR-8840-12 3 6 44 mm AR-8840P-44 * 3
14 mm AR-8840-14 3 6 45 mm AR-8840P-45 * 3
16 mm AR-8840-16 3 6 46 mm AR-8840P-46 * 3
18 mm AR-8840-18 3 6 48 mm AR-8840P-48 * 3
20 mm AR-8840-20 3 6 50 mm AR-8840P-50 * 3
22 mm AR-8840-22 3 6 55 mm AR-8840P-55 * 3
24 mm AR-8840-24 3 6 60 mm AR-8840P-60 * 3
26 mm AR-8840-26 * 6
4 mm Low Profile Screw, Long Thread
28 mm AR-8840-28 * 6
30 mm AR-8840-30 * 6 30 mm AR-8840PL-30 * 3
32 mm AR-8840-32 * 3 32 mm AR-8840PL-32 * 3
34 mm AR-8840-34 * 3 34 mm AR-8840PL-34 * 3
36 mm AR-8840-36 * 3 35 mm AR-8840PL-35 * 3
38 mm AR-8840-38 * 3 36 mm AR-8840PL-36 * 3
40 mm AR-8840-40 * 3 38 mm AR-8840PL-38 * 3
42 mm AR-8840-42 * 3 40 mm AR-8840PL-40 * 3
44 mm AR-8840-44 * 3 42 mm AR-8840PL-42 * 3
45 mm AR-8840-45 * 3 44 mm AR-8840PL-44 * 3
46 mm AR-8840-46 * 3 45 mm AR-8840PL-45 * 3
48 mm AR-8840-48 * 3 46 mm AR-8840PL-46 * 3
50 mm AR-8840-50 * 3 48 mm AR-8840PL-48 * 3
55 mm AR-8840-55 * 3 50 mm AR-8840PL-50 * 3
60 mm AR-8840-60 * 3 55 mm AR-8840PL-55 * 3
60 mm AR-8840PL-60 * 3
4 mm Low Profile Screw, Short Thread, Cannulated
30 mm AR-8840C-30 4 4
32 mm AR-8840C-32 * 4
Implants Diameter Item Number Recommended
34 mm AR-8840C-34 * 4
Set Contents
35 mm AR-8840C-35 4 N/A
36 mm AR-8840C-36 * 4 Washer 7 mm AR-8870W 6
38 mm AR-8840C-38 * 4
40 mm AR-8840C-40 4 4
42 mm AR-8840C-42 * 4
44 mm AR-8840C-44 * 4
45 mm AR-8840C-45 4 N/A
46 mm AR-8840C-46 * 4
48 mm AR-8840C-48 * 4
50 mm AR-8840C-50 4 4
55 mm AR-8840C-55 4 4
60 mm AR-8840C-60 4 4

Ankle Fracture System – Implants I 25

Ankle Fracture System – Supporting Products
Distal Tibia Plating System

The distal tibia plating system offers the versatility swelling or open fractures where a staged protocol may be
required for fixating high or low energy pilon fractures. appropriate.
These fractures are commonly associated with high Color-coded and straightforward instrumentation makes
levels of comminution from articular impaction, as well as the distal tibia plating system easy and efficient to use.
fibular fractures, and have been addressed in the implant
designs. A comprehensive plate offering is included in
the distal tibia system, giving surgeons the freedom to
choose the most appropriate surgical approach for each
patient. Soft tissue management is also critical to patient
outcomes and as a result, significant time was spent on
keeping plates extremely low profile to minimize soft tissue
irritation. Arthrex’s ArthroFX external fixation system is
also available for patients that have significant soft tissue

Anterolateral plate Medial plate Posterior plate

Anterior plate Anatomic distal fibula plate Distal fibula plate

26 I Ankle Fracture System – Supporting Products

 View U.S. Patent information at
www.arthrex.com/corporate/virtual-patent-marking

www.arthrex.com
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