Hand 1.2–2.3

Designed to perform.

The hand is one of the most complex and most frequently utilized parts of the human musculoskeletal system. It is composed of a multitude of closely balanced structures, e.g. bones, muscles, ligaments, tendons, joints and nerves. The goal of hand surgery is to minimize the impact of hand diseases and injuries on daily activities and to restore and obtain as much functionality as possible.

TriLock 1.5

One of the smallest polyaxial locking systems in the hand.

Unexpected Solutions

Scaphoid Plate 1.5 and Hookplate.

No fracture untreated

The complete Hand System 1.2–2.3 provides tools to address any fracture, regardless of complexity.

TriLock

TriLock locking technology provides multidirectional locking of the screw in the plate.

Treatment Concept

In collaboration with leading specialists, Medartis has developed the unique APTUS Hand fixation system for treatment of fractures, osteotomies and arthrodesis of the hand. The implants portfolio offers different technologies, designs, and sizes to support early mobilization and active therapy.

Phalanges and Scaphoid 1.2/1.5

Proximal Phalanges, Metacarpals, Carpals 2.0/2.3

TriLock T-Plate, 5/4 Hole 1.2/1.5

Highlights

Internal fixator principle for early mobilization.
More screw options for support in the subchondral area and reduction of articular fracture fragments and fractures close to the joint.
Double bars between screw holes for increased torsional stability.
Low plate profile with 0.8 mm thickness.

Features

TriLock

Multidirectional locking, screws can pivot freely by ± 15° in all directions

HexaDrive

Simplified screw pick-up due to patented self-holding technology

Rounded edges

Rounded edges for soft tissue protection

Bendable

Plates can be bent with specific plate bending pliers

Easy to cut

Specific cutting pliers can be used to cut the APTUS plates

TriLock Scaphoid Plates 1.2/1.5

Highlights

Three plate options offer improved anatomical fit.
High degree of stability due to grid structure and up to three TriLock screws on each side of the non-union.
Anatomically preshaped to correct humpback deformity.
Two middle bars to keep the bone graft in place.

Features

TriLock

Multidirectional locking, screws can pivot freely by ± 15° in all directions

HexaDrive

Simplified screw pick-up due to patented self-holding technology

Rounded edges

Rounded edges for soft tissue protection

Bendable

Plates can be bent with specific plate bending pliers

Dimensions

Dimensions of the plate

Easy to cut

Specific cutting pliers can be used to cut the APTUS plates

Compression Hook Plate 1.2/1.5

Highlights

Plate design with 2 hooks for the fixation of small bony avulsions.
Compression hole for additional reduction and compression of the fragment.
Nose on plate for supported fragment reduction with holding instrument.
Low plate profile (0.6 mm) and non-protruding screw head for soft tissue protection.

Features

HexaDrive

Simplified screw pick-up due to patented self-holding technology

Rounded edges

Rounded edges for soft tissue protection

Grid Plates 1.2/1.5

Highlights

Grid design for increased torsional and bending stability.
Several designs and sizes offer improved anatomical fit.
Low plate profile with 0.6 mm thickness.

Features

HexaDrive

Simplified screw pick-up due to patented self-holding technology

Rounded edges

Rounded edges for soft tissue protection

Bendable

Plates can be bent with specific plate bending pliers

Dimensions

Dimensions of the plate

Condylar Plates 1.2/1.5

Highlights

Lateral reduction of simple intraarticular fractures.
Compression hole for additional reduction and compression of the fragment.
Low plate profile with 0.6 mm thickness.

Features

HexaDrive

Simplified screw pick-up due to patented self-holding technology

Bendable

Plates can be bent with specific plate bending pliers

Easy to cut

Specific cutting pliers can be used to cut the APTUS plates

Rounded edges

Rounded edges for soft tissue protection

MC Compression Plates 2.0/2.3

Highlights

Up to 2 mm compression possible.
Several design options: straight, L-/Y-shape.
Low plate profile with 1.3 mm thickness.
Broader bars in bridging zones.

Features

HexaDrive

Simplified screw pick-up due to patented self-holding technology

Rounded edges

Rounded edges for soft tissue protection

Bendable

Plates can be bent with specific plate bending pliers

Easy to cut

Specific cutting pliers can be used to cut the APTUS plates

TriLock Grid Plates 2.0/2.3

Highlights

Internal fixator principle for early mobilization.
Grid design for increased torsional and bending stability.
For comminuted fractures in the metaphyseal and diaphyseal region.
Straight and offset hole arrangements.
Low plate profile with 1.0 mm or 1.3 mm thickness: choice of construct stability.

Features

TriLock

Multidirectional locking, screws can pivot freely by ± 15° in all directions

HexaDrive

Simplified screw pick-up due to patented self-holding technology

Rounded edges

Rounded edges for soft tissue protection

Bendable

Plates can be bent with specific plate bending pliers

Dimensions

Dimensions of the plate

TriLock T-Plates 2.0/2.3

Highlights

Internal fixator principle for early mobilization.
Reduction of articular fracture fragments and fractures close to the joint.
Broader bars in bridging zones.
Low plate profile with 1.0 mm or 1.3 mm thickness: choice of construct stability.

Features

TriLock

Multidirectional locking, screws can pivot freely by ± 15° in all directions

HexaDrive

Simplified screw pick-up due to patented self-holding technology

Bendable

Plates can be bent with specific plate bending pliers

Easy to cut

Specific cutting pliers can be used to cut the APTUS plates

Dimensions

Dimensions of the plate

Rounded edges

Rounded edges for soft tissue protection

TriLock Rotation Correction Plate 2.0/2.3

Highlights

Transversal oblong hole allows up to ± 25° of rotational correction and is close to the joint to perform the osteotomy near the metaphyseal area.
Separate screw holes (“frog design") simplify contouring in the periarticular area.

Features

TriLock

Multidirectional locking, screws can pivot freely by ± 15° in all directions

HexaDrive

Simplified screw pick-up due to patented self-holding technology

Oblong hole

Oblong hole for minor plate adjustments

Bendable

Plates can be bent with specific plate bending pliers

Rounded edges

Rounded edges for soft tissue protection

Screws

Non-locking
1.2 Cortical Screws,
HexaDrive 4

Non-locking
1.5 Cortical Screws,
HexaDrive 4

Non-locking
2.0 Cortical Screws,
HexaDrive 6

Non-locking
2.3 Cortical Screws,
HexaDrive 6

Locking
1.5 TriLock Screws,
HexaDrive 4

Locking
2.0 TriLock Screws,
HexaDrive 6

The science behind.

Outcomes of Unstable Scaphoid Nonunion With Segmental Defect Treated With Plate Fixation and Autogenous Cancellous Graft
Putnam JG, Mitchell SM, DiGiovanni RM, Stockwell EL, Edwards SG

2019

J Hand Surg Am.

The authors describe the clinical performance of the Scaphoid plate for treating scaphoid non-unions with a segmental defect. They conclude that: "The combination of scaphoid plate fixation and pure cancellous bone grafting for scaphoid nonunion with segmental defects yields reliable union rates and good patient outcomes.”
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Plate Fixation With Cancellous Graft for Scaphoid Nonunion With Avascular Necrosis
Putnam JG, DiGiovanni RM, Mitchell SM, Castañeda P, Edwards SG.

2019

J Hand Surg Am.

This study reviewed the clinical performance of the Scaphoid Plate for scaphoid nonunions with avascular necrosis, showing excellent union rates and good patient-reported and functional outcomes.
Read More

Designed to simplify.

Holding and Positioning Instrument

The ball tip end of the 1.2/1.5 plate holding and positioning instrument (A-2350) facilitates positioning, moving and holding the implant on the bone and can be used with all system sizes.

Plate Cutting

Ensure that there are no remaining plate segments in the cutting pliers (visual check). Insert the plate from the front into the open cutting pliers. Always ensure that the labeled side of the plate is facing upwards. Hold the implantable plate segment with your hand during and after cutting.