Dynamic Compression PLates - Synthes

DCP and LC-DCP Systems.
Dynamic
Compression Plates (DCP) and
Dynamic Compression Plates with
Limited Bone Contact (LC-DCP).
Lesson is only until page 22. The rest is the catalogue only.
Surgical Technique
This publication is not intended for

distribution in the USA.
Instruments and implants

approved by the AO Foundation.
Image intensifier control
This description alone does not provide sufficient background for direct use
of the instrument set. Instruction by a surgeon experienced in handling these
instruments is highly recommended.
Processing, Reprocessing, Care and Maintenance

For general guidelines, function control and dismantling of multi-part
instruments, as well as processing guidelines for implants, please contact your
local sales representative or refer to:
http://emea.depuysynthes.com/hcp/reprocessing-care-maintenance
For general information about reprocessing, care and maintenance of Synthes
reusable devices, instrument trays and cases, as well as processing of Synthes
non-sterile implants, please consult the Important Information leaflet
(SE_023827) or refer to:
http://emea.depuysynthes.com/hcp/reprocessing-care-maintenance
Table of Contents
Introduction DCP and LC-DCP Systems 2
AO Principles 4
Intended Use 5
Indications and Contraindications 6
Surgical Technique Preparation7
Drill Guides for DCP and LC-DCP 9
Compression Plate: Simple Fracture 12
Compression Plate: Multifragmentary Fracture 15
Buttress Plate 18
Neutralization Plate (Protecting Plate) 19
Product Information Screws, Drills and Taps 20
Mini Fragment System 1.5, 2.0, 2.7 22
Compact Hand 1.0, 1.3, 1.5, 2.0, 2.4 32
Compact Hand Module 1.0/1.3 32
Compact Hand Module 1.5 34
Small Fragment Plates 3.5 44
Large Fragment Plates 4.5 45
MRI Information 48
Surgical Technique DCP and LC-DCP Systems DePuy Synthes 1

DCP and LC-DCP Systems. Dynamic
Compression Plates (DCP) and
Dynamic Compression Plates with
Limited Bone Contact (LC-DCP).
Dynamic Compression Plates are available in dimensions

ranging from 1.3 to 4.5 mm, Limited Contact Dynamic
Compression Plates range from 2.0 to 4.5 mm.
Plate hole geometries
Non-symmetrical holes
Some Dynamic Compression Plates feature non-symmetrical
holes which allow to achieve compression in only one
direction. These plates feature a mid section which is placed
at the position of fragments to be compressed.
The non-symmetrical DCP holes are shaped like a portion of

an inclined and angled cylinder. They possess one compres-
sion point at the inclined side and one neutral point in the
middle.
mid section
Symmetrical holes
Most 1.3 to 3.5 mm Dynamic Compression Plates have sym-
metrical holes similar to the LC-DCP hole. The symmetrical
shape of the plate holes enables compression to be achieved
in both directions, thus plate positioning is not restricted by
the presence of a mid-section.
Symmetrically shaped DCP holes possess one compression

and one neutral point on both sides. With some small and
mini plates, the neutral points meet in the middle.
2 DePuy Synthes DCP and LC-DCP Systems Surgical Technique

Screw angulations
Non-symmetrical holes
The DCP allows up to 25° longitudinal and 7° transverse
screw angulation.
Symmetrical holes
The DCP hole allows up to 50° longitudinal screw angulation
for an increased range of applications. LC-DCP holes allow
even wider angulations up to 80°. Both plate types allow for
14° transverse screw angulation.
Symmetrical LC-DCP hole
Undercuts
Undercuts of the LC-DCP limit contact between plate and

bone.
Uniform stiffness (LC-DCP only)
The uniform stiffness of the LC-DCP allows smooth LC-DCP

contouring of the plate to the bone. It may protect the plate
from localized high bending stresses.
Standard

AO Principles
AO PRINCIPLES
In 1958, the AO formulated four basic principles, which have

In 1958, the guidelines
become AO formulated four basic principles,
for internal fixation1,2
. which
have become the guidelines for internal fixation1, 2.
4_Priciples_03.pdf 1 05.07.12 12:08
Anatomic
Anatomic reduction fixation
Stable fixation
Fracture reduction
Fracture reduction and fixation
and fixation to Fracture fixation
Fracture fixationproviding
providingabsolute
abso- or
to restore
restore anatomical
anatomical relationships.
relationships. relative stability,stability,
lute or relative as required
as by the
prequired
atient, theby injury, and thethe
the patient, personality
injury,
1 2 of
andthethe
fracture.
personality of the
fracture.
Early,
Early, active mobilization
mobilization Preservationof
Preservation of blood
blood supply
supply
Early and
Early and safe mobilization
mobilizationand
and 4 3 Preservation
Preservationof ofthe
theblood
bloodsupply
supply
rehabilitation the injured partand
rehabilitation of the injured part to
to soft tissues and bone bygentle
soft tissues and bone by
the patient
and as a whole.
the patient as a whole. reduction techniques
gentle reduction and careful
techniques and
handling.
careful handling.
1
Müller ME, M Allgöwer, R Schneider, H Willenegger. Manual of Internal
Fixation. 3rd ed. Berlin Heidelberg New York: Springer. 1991.
2
Rüedi TP, RE Buckley, CG Moran. AO Principles of Fracture Management.
2nd ed. Stuttgart, New York: Thieme. 2007.
1
Müller ME, Allgöwer M, Schneider R, Willenegger H. Manual of Internal Fixation.
3rd ed. Berlin, Heidelberg, New York: Springer. 1991.
2
Rüedi TP, Buckley RE, Moran CG. AO Principles of Fracture Management. 2nd ed.
Stuttgart, New York: Thieme. 2007.
4 DePuy Synthes Expert Lateral Femoral Nail Surgical Technique

Intended Use
Intended Use
DCP and LC-DCP System Implants are intended for tempo-
rary fixation, correction or stabilization of bones in various
anatomical regions.

Indications and Contraindications
Indications LC-DCP Plate 3.5, DCP Plate 3.5, T-Plate 3.5

This surgical technique applies to the below Synthes DCP –– Fracture fixation and fixation after for example osteoto-
and LC-DCP systems and plate lines: mies, malunions, nonunions including but not limited to
distal radius, proximal and disital tibia, p
roximal humerus,
Mini Fragment System 1.5, 2.0, 2.7 and clavicle.
–– Fractures of the middle and distal phalanges and tarsals
–– Fractures of the metacarpals and metatarsals LC-DCP Plate 4.5, DCP Plate 4.5, T-Plate 4.5,
–– Osteotomies and arthrodeses on the hand and foot T-Buttress Plate 4.5, L-Buttress Plate 4.5
–– Fractures of the distal radius (double-plate technique) –– Fractures and osteotomies of large bones such as femur,
tibia and humerus
Compact Hand 1.0, 1.3, 1.5, 2.0, 2.4
Implant sizes 1.0/1.3: Semi-Tubular Plate 4.5
–– Fixation of small fragments –– Fractures and osteotomies of smaller sized bones such as
–– Fractures of the distal and intermediate phalanges humerus, radius, ulna, clavicle, fibula, tibia and pelvis
–– Avulsion fractures
Condylar Buttress Plate 4.5
Implant sizes 1.5: –– Buttressing of multifragmentary distal femur fractures
–– Fractures of the phalanges and metacarpals –– Supracondylar fractures
–– Capturing of fragments with lag screw technique –– Intra-articular and extra-articular condylar fractures
–– Malunions and nonunions of the distal femur
Implant sizes 2.0/2.4: –– Periprosthetic fractures
–– Fractures of the phalanges and metacarpals
–– Capturing of fragments with lag screw technique Lateral Tibial Head Buttress Plate 4.5
–– Indicated for the stabilization of fractures of the proximal
Cloverleaf Plates 3.5 tibia. These include proximal shaft fractures, metaphyseal
–– Distal tibia for comminuted fractures to buttress its medial fractures, intra-articular fractures, periprosthetic fractures
side
–– Proximal humerus for comminuted fractures of the hu- Proximal Tibial Plate 4.5
meral head Indicated for nonunions, malunions and fractures of the
proximal tibia including simple, comminuted, lateral wedge,
One-third tubular plate 3.5 depression, medial wedge, bicondylar and combinations of
–– Fractures of smaller sized bones such as fibula, humerus lateral wedge and depression fractures.
and ulna.
Contraindications
No specific Contraindications.

Preparation
1
Plate contouring
For the treatment of juxta-articular fractures (distal tibia,

tibial plateau, distal femur, distal humerus, radius etc.), good
plate contouring to the shape of the bone is very important.
Only then satisfactory reduction and adequate stability may
be achieved.
Pure titanium has mechanical properties differing from stain-

less steel. Due to its lower modulus of elasticity, titanium is
more springy. Therefore, titanium plates should be slightly
over-bent to obtain the desired contour.
The design of the LC-DC Plate ensures uniform rigidity,

hence a continuous curvature after bending. The plates
should not be bent beyond the necessary extent.
Use bending pliers or bending irons for plate contouring.
Precautions:
–– Avoid repeated bending. learn the mechanics !
–– Sharp indentations on the plate surface, especially around
the plate holes, may impair resistance to fatigue and
should be avoided.
–– Reverse bending or use of the incorrect instrumentation
for bending may weaken the plate and lead to premature
plate failure (e.g. breakage). Do not bend the plate be-
yond what is required to match the anatomy.
–– Instruments and screws may have sharp edges or moving
joints that may pinch or tear user’s glove or skin.
–– Handle devices with care and dispose worn bone cutting
instruments in an approved sharps container.

Preparation
2
Use of lag screws to achieve additional stability
In certain circumstances, the use of a plate for fracture com-

pression may be sufficient. In many fractures, however, it is
advantageous to insert a lag screw through the plate to in-
crease fracture stability and to achieve interfragmentary
compression in the far cortex. If a fracture gap remains, the
plate is subjected to high bending stresses.
Using a lag screw through the plate reduces implant stress.1
Klaue K et al. (1982) Die Entlastung der Osteosyntheseplatte durch

1
interfragmentäre Plattenzugschraube. Helv. Chir. Acta 52, 19–23 Reduction in implant stress by using a lag screw through the plate1.

Drill Guides for DCP and LC-DCP
Different drill guide types are available to perform drilling for

DCP and LC-DCP fixation in both neutral and compression
mode.
1
Standard drill guides (DCP, sizes 1.3 – 4.5)
Standard drill guides feature a simple tube to protect soft

t issues while drilling. Depending on the positioning of the
tube within the hole, neutral or eccentric (compression) drill-
ing can be performed. Example
aD
rilling in neutral position
Position the tube in the middle of the DCP hole.
b Drilling in eccentric position – compression

Position the tube in plate hole remote from the fracture.
a b
Neutral and eccentric drilling

Drill Guides for DCP and LC-DCP
2
Universal drill guides (DCP and LC-DCP, sizes 1.5 – 4.5)
Universal drill guides feature one end with a spring-loaded

mechanism which facilitates all types of applications: Neutral
position, compression position, buttress position (LC-DCP
only) and especially the positioning of inclined lag screws
a c b
through the plate.
a Neutral position
Depress the drill guide. The upper part of the inner sleeve
projects. Position the drill guide in the plate hole which
is remote from the fracture (LC-DCP). When used with DC
plates the drill guide automatically slides into the correct
middle position when depressed.
b Compression position neutral inclined compression

Do not depress the drill guide. The upper part is flush. position position position
Position the drill guide in the plate hole remote from the
fracture.
d
c Inclined position
This technique is used for inserting lag screws through the
plate. Place the drill guide in the hole adjacent to the
fracture, depress (upper part projects), and set the desired
drill angle.
d Buttress position (LC-DCP only)

Depress the drill guide as shown for neutral position
(upper part projects). Position the drill guide in the plate
hole adjacent to the fracture.
buttress
position
BUTTRESS = Penopang

3
LC-DCP drill guides (3.5 and 4.5 LC-DC plates)
green yellow
The LC-DCP drill guides can be used with LC-DC plates only.
They feature dedicated ends for neutral application (green)
and for application in compression mode (yellow).
LC-DCP drill guides carry an arrow enabling correct position-

ing of the screw.
a Neutral position
Use the green drill guide to place a screw in neutral
position. The arrow on the green drill guide must point
towards the fracture. Compression cannot be achieved
with the green drill guide.
= symbol for a fracture line
b Compression
Use the yellow drill guide to achieve compression. The
arrow on the yellow drill guide must point towards the arrow points towards the fracture
fracture. a longer b shorter
c Buttress position
Use the green drill guide. A buttress effect is achieved green yellow
when the arrow points away from the fracture.
Pre-drilling in inclined position with LC-DCP drill guides is not

recommended because correct positioning of the screw
cannot be ensured. LC-DCP drill guides are designed to only
fit the hole in a more or less vertical position. For pre-drilling
in inclined position use the universal drill guide instead neutral compression
(refer to 2c). position position
because for inclined position (through the fracture), screw should be placed in the middle
position of the plate hole.
c
green
Implant Removal
In case the physician decides to remove the implants, they
can be removed by using general surgical instruments.
buttress position:
arrow points away
from the fracture
WHY ????

Compression Plate: Simple Fracture
Note: Required drill bits for threaded and gliding holes and
taps for the individual screw sizes can be found in the
chapter “Screws, Drills and Taps” (refer to page 20 and 21).
Choose a plate of the appropriate length. Ensure that there

are enough plate holes over both fragments and that a lag
screw can be inserted if necessary.
Illustrations show the procedure with the neutral and com-

pression drill guide of the LC-DCP drill guide using a 3.5 and
4.5 LC-DC plate.
1
Drill first hole adjacent to fracture
Fragment 1 Fragment 2
Use an appropriately sized drill bit for threaded holes and
drill the first hole adjacent to the fracture. Use the green drill
guide in neutral position with the arrow pointing towards why?? learn the biomechanics!
the fracture. Alternatively, use the universal drill guide in
depressed mode (upper part projects) and place it in the hole
remote from the fracture.
green
Determine screw length, tap the thread, and insert the
screw.
Whenever possible, the screws for axial compression should

be placed in such a way that the apex of the fragment is
drawn into the open wedge between plate and bone. This
greatly reduces the risk of the fragment slipping.
Alternative: When using a shaft screw with an unthreaded

portion below the head, overdrill the near cortex using a
tissue protecting sleeve or standard drill guide and an
appropriately sized drill bit for gliding holes.

2
Drill second hole
yellow
Drill through both cortices into the opposite fragment with
the yellow drill guide in compression position (arrow points
towards the fracture). Alternatively, use the universal drill
guide placing it in the hole remote from the fracture. Do not
depress it (upper part stands flush). Why ??
Determine screw length, tap the thread, and insert the

screw.
Whenever possible, the screws for axial compression should

be placed in such a way that the apex of the fragment is
drawn into the open wedge between plate and bone. This
greatly reduces the risk of the fragment slipping.
Alternative: When using a shaft screw with an unthreaded

portion below the head, overdrill the near cortex using a
tissue protecting sleeve or standard drill guide and an How does it function differently from the fully threaded screw??
appropriately sized drill bit for gliding holes.

Compression Plate: Simple Fracture
3
Insert interfragmentary lag screw
To increase stability in the far cortex and to decrease plate

wear, insert an interfragmentary lag screw.
Drill through both cortices with an universal drill guide in de-

pressed mode (inner sleeve projects) and an appropriately
sized drill bit for threaded holes. The hemispheric underside
of the universal drill guide permits ideal positioning of the
screw head.
Widen the hole in the near cortex with a drill bit for gliding
holes. Push the tissue protecting sleeve upwards, insert the
drill bit into the hole, then slide the tissue protecting sleeve
down until it touches the plate. When drilling, care should
be taken that the course of the gliding hole follows exactly
that of the previous drill hole.
As an alternative to a regular cortex screw a shaft screw,

used as a lag screw, may be inserted. This ensures efficient
gliding of the screw shaft in the gliding hole resulting in a
considerably higher tension effect. Like this in the far cortex
tension is achieved, too.
why this one (lag screw) here?
In the remaining screw holes insert screws in neutral position

apart from the hole directly above the fracture.
Implant Removal

Compression Plate:
Multifragmentary Fracture
Fractures should be treated consecutively.
1
Treat first fracture
For treatment of the first fracture, follow the previously

described example step by step.

Compression Plate: Multifragmentary Fracture
2
Treat second fracture
Treat the second fracture using the universal drill guide. Drill
a hole into the third fragment using the universal drill guide
in compression position and a drill bit for threaded holes.
Seat the drill guide at the side of the hole remote from the
fracture without depressing the drill guide (upper part is
flush).
Drill a gliding hole, measure screw length and tap the

thread.
Insert a screw into the hole. The use of a shaft screw is rec-
ommended.
Next insert a screw into the middle fragment. Prepare the

screw hole with a drill bit for threaded holes and the univer-
sal drill guide depressed for neutral position (upper part of
inner sleeve projecting).

Place the screw.
Prepare seating for the lag screw with the universal drill
guide and a drill bit for threaded screws. Position the univer-
sal drill guide adjacent to the fracture, depress the drill guide
(inner sleeve projects), set drilling angle and drill. If there is
the risk of the drill bit colliding with the screw in the vicinity,
the drill bit has to be inclined.
Drill the gliding hole. Widen the near cortex using an appro-
priately sized drill bit for gliding holes and the tissue protect-
ing sleeve. Measure the screw length and tap the thread.
By inserting a shaft screw as lag screw, additional stability is

achieved. Tighten lag and compression screws alternately.
The remaining screw holes are filled with neutrally placed
screws.
Implant Removal

Buttress Plate
The buttress plate technique is shown using the example of

a shear fracture of the lateral part of the tibial head com-
bined with a short oblique fracture.
First the distal oblique fracture is treated as in the previously

illustrated examples.
All the screw holes in the buttress region are prepared with
the universal drill guide or the green drill guide (neutral posi-
tion) of the LC-DCP drill guide.
The arrow of the drill guide must point away from the frac-
ture. The proximally positioned cancellous bone screws and
cortex screws act as lag screws. The thread grips only in the
opposite fragment, so that there is compression between the
fragments. The use of the green drill guide with the arrow
pointing away from the fracture prevents the tibial plateau
fragment and the plate from slipping. In this situation, the
screw heads are buttressed by the hole edge adjacent to the
fracture.
When to use fully threaded screw and when to use

partially threaded screw??
green
why different
pitch?
Implant Removal

Neutralization Plate (Protecting Plate)
Adapt spiral fracture with two separate lag screws.
Position the plate to bridge the fracture using the LC-DCP

drill guide (3.5 and 4.5 screws only) or the universal drill
guide.
When using the green drill guide of the LC-DCP drill guide
the arrow must point towards the fracture.
green
When using the universal drill guide seat it at the hole edge
remote from the fracture, depress the outer sleeve so that
the upper part projects for neutral position.
To complete fracture treatment, determine screw lengths

and insert screws after having tapped the threads for non-
self-tapping screws.
Implant Removal

0X6.000.342_AB.qxp:0X6.000.342 11.12.2008 14:55 Uhr Seite 1
Cortex Screws for Minifragments

Screws – drills – taps
Screw recess Cruciform Cruciform Cruci- Hex Cruci- Star- Hex Cruci- Stardrive Hex Stardrive
form form drive form
1.5/
1.0 mm 1.3 mm 1.5/2.0 mm 1.5 mm 2.0 mm T6 1.5 mm 2.4 mm T8 2.5 mm T8
Screw type � 1.0 mm � 1.3 mm � 1.5 mm � 2.0 mm � 2.4 mm � 2.7 mm

Screws, Drills and Taps
self-tapping ● ● ● ● ● ● ● ● ● ●
not self-tapping ● ● ● ●
Gliding hole

Threaded hole
Drill Bit for gliding hole � 1.0 mm � 1.3 mm � 1.5 mm � 2.0 mm � 2.4 mm � 2.7 mm
Drill Bit for threaded hole � 0.8 mm � 1.0 mm � 1.1 mm � 1.5 mm � 1.8 mm � 2.0 mm
Tap � 1.3 mm � 1.5 mm � 2.0 mm � 2.4 mm � 2.7 mm
The screws are available in steel and titanium. Sterilizable paper – max. 134 °C
0X6.000.343_AB.qxp:0X6.000.343 12.12.2008 9:23 Uhr Seite 1
Cortex Screws, Cancellous Bone Screws and

Shaft Screws for Small and Large Fragments
Screws – drills – taps
Screw recess Hex Hex Hex Hex Hex
2.5 mm 2.5 mm 2.5 mm 3.5 mm 3.5 mm
Screw type � 2.7 mm � 3.5 mm � 4.0 mm � 4.5 mm � 6.5 mm
Cortical bone
– self-tapping ● ● ●
– non-self-tapping ● ● ●
– Shaft screw ● ●
Cancellous bone screws
– Full thread ● ●
– Long thread ●
– Short thread ● ●
Gliding hole
Threaded hole
Drill Bit for gliding hole � 2.7 mm � 3.5 mm � 4.5 mm � 4.5 mm
Drill Bit for threaded hole � 2.0 mm � 2.5 mm � 2.5 mm � 3.2 mm � 3.2 mm
Tap � 2.7 mm � 3.5 mm � 4.0 mm � 4.5 mm � 6.5 mm
The screws are available in steel and titanium. Sterilizable paper – max. 134 °C

Mini Fragment System 1.5, 2.0, 2.7
Cases and Modules
for Stainless Steel for Titanium

implants implants
305.500 305.505 Graphic Case for Mini

Instrument Set, without
Contents
Instruments
310.110 Drill Bit B 1.1 mm, length 60/35 mm,
2-flute, for Quick Coupling
310.870 Countersink 2.7, length 62 mm
310.880 Countersink 1.5 to 2.4, length 52 mm,
for Mini Quick Coupling
310.950 Handle with Mini Quick Coupling
311.010 Handle with Mini Quick Coupling,
Stainless Steel
311.150 Tap for Cortex Screws B 1.5 mm,
length 50/20 mm
length 53/24 mm
length 100/33 mm
311.430 Handle with Quick Coupling,
length 110 mm
312.140 Double Drill Guide 1.5/1.1, for No.
311.150
312.200 Triple Drill Guide 2.0, with 3 holes
312.220 Double Drill Guide 2.0/1.5
314.020 Screwdriver, hexagonal, small,
with Holding Sleeve
314.030 Screwdriver Shaft, hexagonal, small,
B 2.5 mm
Available nonsterile or sterile-packed.

Add “S” to catalog number to order sterile product.

314.060 Holding Sleeve, for Nos. 314.020,
314.030, 314.070, 314.550 and
314.570
314.670 Screwdriver Shaft 1.5/2.0, cruciform,
with Holding Sleeve, length 66 mm,
blue
319.040 Depth Gauge for Screws, measuring
range up to 50 mm
319.110 Depth Gauge for Screws B 1.5 and
2.0 mm, measuring range up to 26 mm
319.390 Sharp Hook, length 155 mm
319.970 Screw Forceps, self-holding, length
85 mm
329.010 Bending Iron for Plates 1.5 and 2.0,
length 130 mm
329.120 Bending Pliers for Plates 1.5 to 2.7,
length 140 mm
391.820 Wire Bending Pliers, length 155 mm,
for Wires up to B 1.25 mm
391.950 Cutting Pliers for Plates 1.5 to 2.7,
length 256 mm
391.970 Wire Cutter, short, length 175 mm
392.020 Bending Iron for Kirschner Wires,
for Wires B 0.8 to 1.25 mm
398.400 Reduction Forceps with Points, narrow,
ratchet lock, length 132 mm
398.410 Reduction Forceps, with Points, wide,
398.960 Stagbeetle Forceps, ratchet lock,
length 125 mm
398.990 Holding Forceps for Small Plates,
399.000 Holding Forceps for Finger Plates,
399.180 Bone Lever, small, short narrow tip,
width 6 mm, length 160 mm
399.190 Bone Lever, small, short narrow tip,
width 8 mm, length 160 mm
399.450 Bone Lever, width 15 mm, length
120 mm, end of handle ring-shaped


399.480 Periosteal Elevator, slightly curved blade,

straight edge, width 3 mm,
length 187/87 mm
399.970 Reduction Forceps with Points,


Plates
Stainless Titanium
Steel (TiCP)
246.190 446.190 Mini Plate 1.5, straight,

20 holes, length 100 mm
246.230 446.230 Mini T-Plate 1.5,

head 3 holes, shaft 9 holes,
length 50 mm
446.233 Mini T-Plate 1.5,

shaft 8 holes, head 3 holes,
length 44 mm, Pure Titanium

shaft 8 holes, head 4 holes,
246.240 446.240 Mini T-Plate 1.5,

length 50 mm
246.480 446.480 Mini H-Plate 1.5, 4 holes
246.610 Mini Condylar Plate 1.5,

pin left, Stainless Steel

pin right, Stainless Steel

shaft 6 holes, length 36 mm,
pin left, Pure Titanium

shaft 6 holes, length 36 mm,
pin right, Pure Titanium
243.090 Mini Adaption Plate 2.0,

243.130 Mini Plate 2.0, straight,




Stainless Titanium
Steel (TiCP)


243.190 443.190 Mini Plate 2.0, straight,

243.230 443.230 Mini T-Plate 2.0,

length 50 mm
243.240 443.240 Mini T-Plate 2.0,

length 50 mm
243.310 Mini L-Plate 2.0, left,

head 2 holes, shaft 2 holes
243.320 Mini L-Plate 2.0, right,

243.330 Mini L-Plate 2.0, oblique, left,

243.340 Mini L-Plate 2.0, oblique,

right, head 2 holes,
shaft 2 holes

243.540 443.540 DCP 2.0, 4 holes,

length 22 mm
243.550 443.550 DCP 2.0, 5 holes,

length 27 mm
243.560 443.560 DCP 2.0, 6 holes,

length 32 mm
243.570 443.570 DCP 2.0, 7 holes,

length 37 mm
243.580 443.580 DCP 2.0, 8 holes,

length 42 mm


Stainless Titanium
Steel (TiCP)
243.610 443.610 Mini Condylar Plate 2.0,

pin left
243.620 443.620 Mini Condylar Plate 2.0,

pin right
242.030 442.030 Quarter Tubular Plate 2.7 with

Collar, 3 holes, length 26 mm





242.310 L-Plate 2.7, left, shaft 3 holes,

head 2 holes
242.320 L-Plate 2.7, right, shaft

3 holes, head 2 holes
242.330 442.330 L-Plate 2.7, oblique, left,

shaft 3 holes, head 2 holes
242.340 442.340 L-Plate 2.7, oblique, right,

shaft 3 holes, head 2 holes
242.410 442.410 T-Plate 2.7, shaft 3 holes,

head 2 holes
242.610 442.610 Condylar Plate 2.7, 6 holes,

pin left
242.620 442.620 Condylar Plate 2.7, 6 holes,

pin right
244.020 444.020 DCP 2.7, 2 holes,

length 20 mm


Stainless Titanium
Steel (TiCP)
244.030 DCP 2.7, 3 holes,

length 28 mm
244.040 444.040 DCP 2.7, 4 holes,

length 36 mm
244.050 444.050 DCP 2.7, 5 holes,

length 44 mm
244.060 444.060 DCP 2.7, 6 holes,

length 52 mm
244.070 444.070 DCP 2.7, 7 holes,

length 60 mm
244.080 444.080 DCP 2.7, 8 holes,

length 68 mm
244.090 444.090 DCP 2.7, 9 holes,

length 76 mm
244.100 444.100 DCP 2.7, 10 holes,

length 84 mm
244.110 DCP 2.7, 11 holes,

length 92 mm
244.120 444.120 DCP 2.7, 12 holes,

length 100 mm
244.220 444.220 DCP 2.7, 2 holes,

length 26 mm
449.936 LC-DCP 2.0, 6 holes,

length 36 mm
449.938 LC-DCP 2.0, 8 holes,

length 48 mm
449.931 LC-DCP 2.0, 4 holes,

length 24 mm
LC-DCP® 2.7
242.204–242.222 LC-DCP 2.7, 4 to 12 holes,

length 41 to 113 mm, Stainless Steel*

* Parts only available non-sterile.

Screws and Washers
Cortex Screw B 1.5 mm
Stainless Steel Titanium (TiCP) Length (mm)

210.006 400.006 6
210.007 400.007 7
210.008 400.008 8
210.009 400.009 9
210.010 400.010 10
210.011 400.011 11
210.012 400.012 12
210.014 400.014 14
210.016 400.016 16
210.018 400.018 18
210.020 400.020 20

211.006 401.006 6
211.008 401.008 8
211.010 401.010 10
211.012 401.012 12
211.014 401.014 14
211.016 401.016 16
211.018 401.018 18
211.020 401.020 20
211.022 401.022 22
211.024 401.024 24
211.026 26
211.028 28
211.030 30
211.032 32
211.034 34
211.036 36
211.038 38



202.006 402.006 6
202.008 402.008 8
202.010 402.010 10
202.012 402.012 12
202.014 402.014 14
202.016 402.016 16
202.018 402.018 18
202.020 402.020 20
202.022 402.022 22
202.024 402.024 24
Washer B 7.0/3.6 mm
Stainless Steel Titanium

(TiCP)
219.980 419.980 for Screws B 2.7 to 4.0 mm


Wires
Cerclage Wire
Stainless Steel B (mm) Length (mm)

291.240 0.6 175
291.260 0.8 200
Kirschner Wire
With trocar tip, pack of 10 units
Stainless Steel B (mm) Length (mm)
292.060.10 0.6 70
292.080.10 0.8 70
292.100.10 1.0 150
292.120.10 1.25 150
292.160.10 1.6 150
Also available (production on request)

243.000.509 DCP 2.0, 9 holes, Stainless Steel
243.000.510 DCP 2.0, 10 holes, length 52 mm,
Stainless Steel
243.000.512 DCP 2.0, 12 holes, length 62 mm,
Stainless Steel
243.880 Mini T-Plate 1.5/2.0, shaft 4 holes,
length 35 mm, Stainless Steel
243.234 T-Adaption Plate 2.0, head 3 holes,
shaft 10 holes, Stainless Steel
2-flute, for Jacobs Chuck
2-flute, for Jacobs Chuck


Compact Hand 1.0, 1.3, 1.5, 2.0, 2.4
Compact Hand Module 1.0/1.3

Module
for Stainless for Titanium

Steel implants implants
682.483 682.480 Module Compact Hand

1.0/1.3, with Lid, without
Contents, green/yellow
Instruments
314.413 Screwdriver Shaft 1.3, cruciform,
with Mini Quick Coupling
2-flute, for Mini Quick Coupling
Plates
Stainless Titanium
Steel (TiCP)
221.312 421.312 Adaption Plate 1.3, 12 holes
221.320 421.320 Strut Plate 1.3, oblique-

angled, right, 8 holes

angled, left, 8 holes
221.333 421.333 T-Adaption Plate 1.3,

221.334 421.334 T-Adaption Plate 1.3,

221.335 421.335 Y-Adaption Plate 1.3, 11 holes


Screws
Cortex Screw B 1.0 mm, self-tapping

200.526 400.526 6
200.527 400.527 7
200.528 400.528 8
200.529 400.529 9
200.530 400.530 10
200.531 400.531 11
200.532 400.532 12
200.533 400.533 13
200.534 400.534 14

200.686 400.686 6
200.687 400.687 7
200.688 400.688 8
200.689 400.689 9
200.690 400.690 10
200.691 400.691 11
200.692 400.692 12
200.693 400.693 13
200.694 400.694 14
200.695 400.695 15
200.696 400.696 16
200.698 400.698 18


Compact Hand 1.0, 1.3, 1.5, 2.0, 2.4
Compact Hand Module 1.5

Module


1.5, with Lid, without
Contents, red
Instruments
312.140 Double Drill Guide 1.5/1.1, for No. 311.150
314.667 Screwdriver Shaft 1.5, cruciform, with
Holding Sleeve, length 66 mm, with Mini
Quick Coupling


Plates
Stainless Titanium
Steel (TiCP)
246.231 446.231 T-Adaption Plate 1.5,

246.241 446.241 T-Adaption Plate 1.5,

246.242 446.242 Y-Adaption Plate 1.5,

11 holes, prebent profile

angled, right, 8 holes,
prebent profile

angled, left, 8 holes,
prebent profile
446.612 Y-Plate 1.5, shaft 8 holes,

head 3 holes, length 46 mm,
Pure Titanium


Compact Hand 1.0, 1.3, 1.5, 2.0, 2.4
Screws
Stainless Steel Titanium alloy Length (mm)

(TAN)
200.806 400.806 6

200.807 400.807 7
200.808 400.808 8
200.809 400.809 9
200.810 400.810 10
200.811 400.811 11
200.812 400.812 12
200.813 400.813 13
200.814 400.814 14
200.816 400.816 16
200.818 400.818 18
200.820 400.820 20
200.822 400.822 22
200.824 400.824 24


Module


Contents, blue
Instruments
323.200 Universal Drill Guide 2.0


Compact Hand 1.0, 1.3, 1.5, 2.0, 2.4
Plates
Stainless Titanium
Steel (TiCP)
223.588 443.588 LC-DCP 2.0, 8 holes,

length 51 mm
243.231 443.231 T-Adaption Plate 2.0, head 3

holes, shaft 8 holes
243.241 443.241 T-Adaption Plate 2.0,

243.242 443.242 Y-Adaption Plate 2.0, 11 holes
243.480 443.480 Mini H-Plate 2.0, 4 holes
243.584 443.584 LC-DCP 2.0, 4 holes,

length 27 mm
243.585 443.585 LC-DCP 2.0, 5 holes,

length 33 mm
243.586 443.586 LC-DCP 2.0, 6 holes,

length 39 mm
243.587 443.587 LC-DCP 2.0, 7 holes,

length 45 mm
447.032 Plate 2.0, straight, 12 holes,

447.232 T-Plate 2.0, shaft 8 holes,

Pure Titanium
447.233 T-Plate 2.0, shaft 8 holes,

Pure Titanium
447.612 Y-Plate 2.0, 3 + 8 holes,



Screws
Stainless Steel Titanium Length (mm)

alloy (TAN)
201.806 401.806 6
201.807 401.807 7
201.808 401.808 8
201.809 401.809 9
201.810 401.810 10
201.811 401.811 11
201.812 401.812 12
201.813 401.813 13
201.814 401.814 14
201.816 401.816 16
201.818 401.818 18
201.820 401.820 20
201.822 401.822 22
201.824 401.824 24
201.826 401.826 26
201.828 401.828 28
201.830 401.830 30
201.832 401.832 32
201.834 401.834 34
201.836 401.836 36
201.838 401.838 38


Compact Hand 1.0, 1.3, 1.5, 2.0, 2.4

Module


Contents, violet
Instruments
312.920 Drill Sleeve 1.8, with centering thread
313.940 Screwdriver, cruciform, with Holding
Sleeve, for Cortex Screws B 2.4 mm
323.202 Universal Drill Guide 2.4


Plates
Stainless Titanium
Steel (TiCP)
449.906 Plate 2.4, straight, 6 holes,

36 mm, Pure Titanium
249.912 449.912 Adaption Plate 2.4, 12 holes,

for Compact Hand 2.4
249.913 449.913 T-Adaption Plate 2.4,

249.914 449.914 T-Adaption Plate 2.4,

249.919 T-Adaption Plate 2.4,

249.915 449.915 Y-Adaption Plate 2.4,

11 holes, for Compact
Hand 2.4
249.916 449.916 Condylar Plate 2.4, pin right,

249.917 449.917 Condylar Plate 2.4, pin left,

249.924 449.924 LC-DCP 2.4, 4 holes,

length 35 mm, for Compact
Hand 2.4
249.926 449.926 LC-DCP 2.4, 6 holes,

Hand 2.4
249.928 449.928 LC-DCP 2.4, 8 holes,

Hand 2.4


Compact Hand 1.0, 1.3, 1.5, 2.0, 2.4
Screws and Buttress Pins
Cortex Screw B 2.4 mm, self-tapping,


alloy (TAN)
201.636 401.636 6
201.637 401.637 7
201.638 401.638 8
201.639 401.639 9
201.640 401.640 10
201.641 401.641 11
201.642 401.642 12
201.643 401.643 13
201.644 401.644 14
201.646 401.646 16
201.648 401.648 18
201.650 401.650 20
201.652 401.652 22
201.654 401.654 24
201.656 401.656 26
201.658 401.658 28
201.660 401.660 30
201.662 401.662 32
201.664 401.664 34
201.666 401.666 36
201.668 401.668 38
201.670 401.670 40

44 DePuy Synthes DCP and LC-DCP Systems Surgical Technique Surgical Technique DCP and LC-DCP Systems DePuy Synthes 44
Buttress Pin B 1.8 mm

(TiCP)
201.962 401.962 12
201.964 401.964 14
201.966 401.966 16
201.968 401.968 18
Also available
446.032 Plate 1.5, straight, 12 holes, length 59 mm,
Pure Titanium
446.031 Plate 1.5, straight, 6 holes, length 29 mm,
Pure Titanium


Compact Hand 1.0, 1.3, 1.5, 2.0, 2.4
Small Fragment Plates 3.5

Cloverleaf Plate 3.5
241.830–241.860 Cloverleaf Plate 3.5, shaft 3 to 6 holes,

length 88 to 136 mm, Stainless Steel
441.830–441.860 Cloverleaf Plate 3.5, shaft 3 to 6 holes,

length 88 to 136 mm, Pure Titanium
One-third Tubular Plate 3.5 with Collar
241.320–241.420 One-third Tubular Plate 3.5 with Collar,

2 to 12 holes, length 28 to 148 mm,
Stainless Steel
441.320–441.420 One-third Tubular Plate 3.5 with Collar, 2

to 12 holes, length 28 to 148 mm, Pure
Titanium
LC-DCP® Plate 3.5
223.520–223.640 LC-DCP-Plate 3.5, 2 to 14 holes,

423.520–423.620 LC-DCP-Plate 3.5, 2 to 12 holes,

DCP® Plate 3.5
248.020–248.160 DCP-Plate 3.5, 2 to 16 holes,

T-Plate 3.5
241.130–241.160 T-Plate 3.5, right-angled, shaft 3 to 6 holes,

head 3 to 4 holes, length 50 to 78 mm,
Stainless Steel
441.130–441.160 T-Plate 3.5, right-angled, shaft 3 to 6 holes,

head 3 to 4 holes, length 50 to 78 mm,
Pure Titanium
241.230–241.250 T-Plate 3.5, oblique-angled, shaft 3 to 5

holes, head 3 holes, length 52 to 74 mm,
Stainless Steel
441.230–441.250 T-Plate 3.5, oblique-angled,

shaft 3 to 5 holes, head 3 holes,
All parts above are available non-sterile or sterile-packed.


Large Fragment Plates 4.5
LC-DCP® 4.5
224.520–224.660 LC-DCP 4.5, narrow, 2 to 16 holes,

424.520–424.660 LC-DCP 4.5, narrow, 2 to 16 holes,

226.560–226.680 LC-DCP 4.5, broad, 6 to 18 holes,

426.560–426.680 LC-DCP 4.5, broad, 6 to 18 holes,

DCP® 4.5
224.020–224.180 DCP 4.5, narrow, 2 to 18 holes,

226.060–226.180 DCP 4.5, broad, 6 to 18 holes,

T-Plate 4.5
240.110–240.190 T-Plate 4.5, shaft 3 to 11 holes,

440.130–440.180 T-Plate 4.5, 3 to 8 holes,

T-Buttress Plate 4.5
240.340–240.360 T-Buttress Plate 4.5, shaft 4 to 6 holes,

440.340-440.360 T-Buttress Plate 4.5, shaft 4 to 6 holes,

length 81 to 112 mm, Pure Titanium*

Add "S" to catalog number to order sterile product.

Compact Hand 1.0, 1.3, 1.5, 2.0, 2.4
Large Fragment Plates 4.5
L-Buttress Plate 4.5
240.403–240.440 L-Buttress Plate 4.5, right, left-angled,

shaft 3 to 6 holes, length 69 to 117 mm,
Stainless Steel
440.440 L-Buttress Plate 4.5, right, left-angled,

shaft 4 holes, length 85 mm, Pure Titanium
240.503–240.540 L-Buttress Plate 4.5, left, right-angled,

Stainless Steel
440.540 L-Buttress Plate 4.5, left, right-angled,

shaft 4 holes, length 85 mm, Pure Titanium
Semi-Tubular Plate 4.5
222.020–222.120 Semi-Tubular Plate 4.5, 2 to 12 holes,

422.020–422.100 Semi-Tubular Plate 4.5, 2 to 10 holes,

Condylar Buttress Plate 4.5
240.700–240.720 Condylar Buttress Plate 4.5, left,

shaft 11 to 15 holes, Stainless Steel


shaft 7 to 15 holes, Pure Titanium*
240.730–240.750 Condylar Buttress Plate 4.5, right,



shaft 7 to 15 holes, Pure Titanium*


Lateral Tibial Head Buttress Plate 4.5
240.460–240.500 Lateral Tibial Head Buttress Plate 4.5, right,

Stainless Steel
440.515–440.523 Lateral Tibial Head Buttress Plate 4.5, right,

Pure Titanium
240.560–240.600 Lateral Tibial Head Buttress Plate 4.5, left,

Stainless Steel
440.525–440.533 Lateral Tibial Head Buttress Plate 4.5, left,

Pure Titanium
Proximal Tibial Plate 4.5
240.004 Proximal Tibial Plate 4.5 right, 4 holes/

L 73 mm, Stainless Steel*
240.005 Proximal Tibial Plate 4.5 left, 4 holes/







MRI Information
Torque, Displacement and Image Artifacts according

to ASTM F 2213-06, ASTM F 2052-06e1 and
ASTM F 2119-07
Non-clinical testing of worst case scenario in a 3 T MRI
system did not reveal any relevant torque or displacement
of the construct for an experimentally measured local spatial
gradient of the magnetic field of 3.69 T/m. The largest image
artifact extended approximately 169 mm from the construct
when scanned using the Gradient Echo (GE). Testing was
conducted on a 3 T MRI system.
Radio-Frequency-(RF-)induced heating according to

ASTM F 2182-11a
Non-clinical electromagnetic and thermal testing of worst
case scenario lead to peak temperature rise of 9.5 °C
with an average temperature rise of 6.6 °C (1.5 T) and a
peak temperature rise of 5.9 °C (3 T) under MRI Conditions
using RF Coils (whole body averaged specific absorption rate
[SAR] of 2 W/kg for 6 minutes [1.5 T] and for 15 minutes
[3 T]).
Precautions: The above mentioned test relies on non-clini-

cal testing. The actual temperature rise in the patient will
depend on a variety of factors beyond the SAR and time of
RF application. Thus, it is recommended to pay particular
attention to the following points:
–– It is recommended to thoroughly monitor patients under
going MR scanning for perceived temperature and/or pain
sensations.
–– Patients with impaired thermoregulation or temperature
sensation should be excluded from MR scanning proce-
dures.
–– Generally, it is recommended to use a MR system with
low field strength in the presence of conductive implants.
The employed specific absorption rate (SAR) should be
reduced as far as possible.
–– Using the ventilation system may further contribute to
reduce temperature increase in the body.

© DePuy Synthes Trauma, a division of Synthes GmbH. 2016. All rights reserved. 036.001.093 DSEM/TRM/1115/0556(1) 09/16
Synthes GmbH
Eimattstrasse 3 Not all products are currently available in all markets.
4436 Oberdorf
Switzerland This publication is not intended for distribution in the USA.
Tel: +41 61 965 61 11
Fax: +41 61 965 66 00 All surgical techniques are available as PDF files at
www.depuysynthes.com www.depuysynthes.com/ifu 0123

Dynamic Compression PLates - Synthes

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DCP and LC-DCP Systems.

This publication is not intended for

Instruments and implants

Processing, Reprocessing, Care and Maintenance

Introduction DCP and LC-DCP Systems 2

Indications and Contraindications 6

Surgical Technique Preparation7

Drill Guides for DCP and LC-DCP  9

Compression Plate: Simple Fracture 12

Compression Plate: Multifragmentary Fracture 15

Neutralization Plate (Protecting Plate) 19

Product Information Screws, Drills and Taps 20

Mini Fragment System 1.5, 2.0, 2.7 22

Compact Hand 1.0, 1.3, 1.5, 2.0, 2.4 32

Compact Hand Module 1.0/1.3 32

Compact Hand Module 1.5 34

Compact Hand Module 2.0 37

Compact Hand Module 2.4 40

Small Fragment Plates 3.5  44

Large Fragment Plates 4.5  45

Surgical Technique DCP and LC-DCP Systems DePuy Synthes 1

Dynamic Compression Plates are available in dimensions

Plate hole geometries

The non-symmetrical DCP holes are shaped like a portion of

Symmetrically shaped DCP holes possess one compression

2 DePuy Synthes DCP and LC-DCP Systems Surgical Technique

Symmetrical LC-DCP hole

Undercuts of the LC-DCP limit contact between plate and

Uniform stiffness (LC-DCP only)

The uniform stiffness of the LC-DCP allows smooth LC-DCP

Surgical Technique DCP and LC-DCP Systems DePuy Synthes 3

In 1958, the AO formulated four basic principles, which have

4_Priciples_03.pdf 1 05.07.12 12:08

4 DePuy Synthes Expert Lateral Femoral Nail Surgical Technique

Surgical Technique DCP and LC-DCP Systems DePuy Synthes 5

Indications LC-DCP Plate 3.5, DCP Plate 3.5, T-Plate 3.5

6 DePuy Synthes DCP and LC-DCP Systems Surgical Technique

For the treatment of juxta-articular fractures (distal tibia,

Pure titanium has mechanical properties differing from stain-

The design of the LC-DC Plate ensures uniform rigidity,

Use bending pliers or bending irons for plate contouring.

Surgical Technique DCP and LC-DCP Systems DePuy Synthes 7

In certain circumstances, the use of a plate for fracture com-

Using a lag screw through the plate reduces implant stress.1

Klaue K et al. (1982) Die Entlastung der Osteosyntheseplatte durch

8 DePuy Synthes DCP and LC-DCP Systems Surgical Technique

Different drill guide types are available to perform drilling for

Standard drill guides feature a simple tube to protect soft

b Drilling in eccentric position – compression

Surgical Technique DCP and LC-DCP Systems DePuy Synthes 9

Universal drill guides feature one end with a spring-loaded

b Compression position neutral inclined compression

d Buttress position (LC-DCP only)

11 DePuy Synthes DCP and LC-DCP Systems Surgical Technique

LC-DCP drill guides carry an arrow enabling correct position-

fracture. a longer b shorter

when the arrow points away from the fracture.

Pre-drilling in inclined position with LC-DCP drill guides is not

Surgical Technique DCP and LC-DCP Systems DePuy Synthes 11

Choose a plate of the appropriate length. Ensure that there

Illustrations show the procedure with the neutral and com-

Whenever possible, the screws for axial compression should

Alternative: When using a shaft screw with an unthreaded

11 DePuy Synthes DCP and LC-DCP Systems Surgical Technique

Introduction DCP and LC-DCP Systems 2

Indications and Contraindications 6

Surgical Technique Preparation7

Drill Guides for DCP and LC-DCP 9

Compression Plate: Simple Fracture 12

Compression Plate: Multifragmentary Fracture 15

Neutralization Plate (Protecting Plate) 19

Product Information Screws, Drills and Taps 20

Mini Fragment System 1.5, 2.0, 2.7 22

Compact Hand 1.0, 1.3, 1.5, 2.0, 2.4 32

Compact Hand Module 1.0/1.3 32

Compact Hand Module 1.5 34

Compact Hand Module 2.0 37

Compact Hand Module 2.4 40

Small Fragment Plates 3.5 44

Large Fragment Plates 4.5 45

Klaue K et al. (1982) Die Entlastung der Osteosyntheseplatte durch

b Drilling in eccentric position – compression

b Compression position neutral inclined compression

d Buttress position (LC-DCP only)

305.500 305.505 Graphic Case for Mini

399.480 Periosteal Elevator, slightly curved blade,