Pelvic & Acetabular Fracture Treatment - Stryker

Pelvic & Acetabular 

Fracture Treatment 

1

Contents 

Acknowledgments 

Stryker acknowledges Joel Matta, M.D. 

and Henry Claude Sargi, M.D. for 

their support in the preparation of this 

brochure. 

This publication sets forth detailed 

recommended procedures for using 

Stryker Osteosynthesis devices and 

instruments. 

It offers guidance that you should 

heed, but, as with any such technical 

guide, each surgeon must consider the 

particular needs of each patient and 

make appropriate adjustments when 

and as required. 

A workshop training is required prior 

to first surgery. See package insert 

(V15011, V15013 and V15034) for 

a complete list of potential adverse 

effects, contraindications, warnings and 

precautions. the surgeon must discuss 

all relevant risks, including the finite 

lifetime of the device, with the patient, 

when necessary. 

Page 

1. Introduction 4 

2. Rationale 5 

Matta Pelvic System 

External Fixation 

Apex Pin Fixation 

Asnis Screw Fixation 

HydroSet 

3. Indications 6 

Matta Pelvic System Indications 

Contraindications 

4. Features and Benefits 7 

Plates 

Screws 

Instrumentation 

5. Plate Types 8 

Female Pelvis 

Male Pelvis 

6. The Pelvic Ring and Acetabulum 9 

Pelvic Ring 

Acetabulum 

7. Assessment of Fractures 10 

Inlet Projection 

Outlet Projection 

6. Pelvic Ring Fracture Types 11 

Pubis Symphysis Disruption 

Iliac Fracture 

Sacroiliac Dislocation 

Sacroiliac Fracture – Dislocation 

Sacrum Fracture 

9. Acetabular Fracture Types 14 

Posterior Wall 

Posterior Column 

Anterior Wall 

Anterior Column 

Transverse 

T-Shaped 

Posterior Column & Posterior Wall 

Transverse & Posterior Wall 

Anterior Column Posterior-Hemitransverse 

Both Column 

Warning: 

All bone screws referenced in 

this document here are not 

approved for screw attachment or 

fixation to the posterior elements 

(pedicles) of the cervical, thoracic 

or lumbar spine. 

2

Contents - Cont’d 

Page 

14. Plate Bending 19 

15. Screw Fixation 20 

17. Reduction Instruments 22 

19. External Fixation Pelvic Frame 24 

Features and Benefits 

20. Hoffmann II MRI-Pin Placement Techniques 25 

21. Hoffmann Xpress Immediate Care 26 

Hoffmann II MRI 

Apex Pins 

22. Apex Pin Fixation 27 

Technical Details - Self-Drilling/Self-Tapping Apex Pin 

23. Asnis III Screw Fixation 28 


24. Asnis III Pelvic Screws 29 

25. Acetabular Articular Fragments Augmentation with HydroSet 30 


Ordering Information – MPS Plates 31 

Ordering Information – MPS Screws 32 

Ordering Information – MPS Screws 33 

Ordering Information – MPS Instruments 34 

Ordering Information – MPS Cases and Trays 35 

Ordering Information – Hoffmann II MRI Components 36 

Ordering Information – Hoffmann II MRI Instruments 37 

Ordering Information – Hoffmann Xpress 38 

Ordering Information – Apex Pelvic Pins 39 

Ordering Information - Asnis III 40 

Ordering Information – HydroSet Injectable HA Bone Substitute 41 

3

Introduction 

“The perfect restoration of the articular surface and associated osseous architecture” 

was the goal set forth by R.Judet and E. Letournel in their surgical treatment of 

fractures of the pelvis and the acetabulum. 

However, before surgical intervention in a fractured acetabulum can be accepted as 

a means of treatment, accurate diagnosis based on radiology is essential. As in other 

conditions, classification also aids in the accurate understanding of these sometimes 

complex fractures. 

No one surgical approach is applicable for all acetabulum fractures. After 

examination of the plain films as well as the CT scan the surgeon should be 

knowledgeable of the precise anatomy of the fracture he is dealing with. A surgical 

approach is selected with the expectation that the entire reduction and fixation can 

be performed through the surgical approach. 

The Letournel classification was first published in 1961. Apart from some minor 

early modifications, it has since remained unchanged and is now the most widely 

used classification system for acetabular fractures. This classification proposes the 

division of the various fracture types into two large groups: 

Elementary Fractures comprise those in which a part or all of one or both columns 

supporting the acetabulum has been detached by a single fracture line. The five 

elementary fracture types are: 

- Fracture of the posterior wall 

- Fracture of the posterior column 

- Fracture of the anterior wall 

- Fracture of the anterior column 

- Transverse fracture 

Associated Fractures comprise those in which two or more elementary patterns are 

combined. The five associated fracture types are: 

- T-shaped fracture 

- Posterior column and posterior wall fracture 

- Transverse and posterior wall fractures 

- Anterior column or anterior wall with posterior 

hemi-transverse fracture 

- Both–column fracture 

Judet and Letournel concluded early on the most important factor in a successful 

operation was a thorough pre-operative three dimensional understanding of the 

X-rays and fracture pattern. The same is true today. The surgeon’s knowledge, skill 

and dedication remain the primary determinants of the patient’s outcome, and the 

Stryker Pelvic & Acetabular Fracture Treatment Solutions seek to facilitate this. 

4

Rationale 

Matta Pelvic System 

The Matta Pelvic System is designed to address all fractures of the acetabulum 

and pelvis. The shape, material properties, plate malleability and hole spacing of 

the plates take into account today’s physician’s need for sufficient fatigue strength, 

optimized transfer of loading forces and a standardized operative technique with 

broad applicability. The current set also includes a variety of clamps and reduction 

External Fixation 

Hoffmann II External Fixation plays a definitive role in the treatment of unstable 

pelvic fractures using the device as provisional fixation. In contrast to internal 

fixation, this method has two major advantages: safety and simplicity. 


Solid pin fixation is essential for effective external fixation frames. The Apex Pin 

uses advanced thread geometry designed to yield outstanding cutting performance 

and optimal pin fixation. 

Asnis Screw Fixation 

Asnis III 6.5mm or 8.0mm cannulated screws can be utilized in surgical stabilization 

of sacroiliac joint disruption and/or sacral fractures using a minimally invasive 

HydroSet 

HydroSet injectable HA bone void substitute can be utilized in comminuted 

posterior wall fractures as an effective osteoconductive and osteointegrative material, as 

well as to help support pelvic bone fragments. 

5 

Matta – Page 7 Ex–Fix – Page 25 Asnis – Page 29 HydroSet – Page 30

Indications 

Matta Pelvic System Indications: 

• Acetabulum fracture 

• Pelvic Ring fracture 

• Sacrum fracture 

• Ilium fracture 

• Sacroiliac joint dislocations 

• Symphysis Pubis disruption 

• Revision surgery of pseudoarthroses, non-unions and mal-unions 

• Osteotomies 

• Pelvic arthrodeses 

• Total hip revision surgery 

Contraindications 

The physician’s education, training and professional judgment must be relied on 

to choose 

the most appropriate device and treatment. 

Conditions presenting an increased risk of failure include: 

Any active or suspected latent infection, or marked local inflammation in or about 

the affected area. Compromised vascularity that would inhibit adequate blood 

supply to the fracture or the operative site. 

Bone stock compromised by disease, infection or prior implantation that cannot 

provide adequate support and/or fixation of the devices. 

Material sensitivity, documented or suspected. Obesity. An overweight or obese 

patient can produce 

loads on the implant that can lead to failure of the fixation of the device or to 

failure of the device itself. Patients having inadequate tissue coverage over the 

operative site. Implant utilization that would interfere with anatomical structures or 

physiological performance. 

Any mental or neuromuscular disorder that would create an unacceptable risk of 

fixation failure or complications in postoperative care. Other medical or surgical 

conditions that would preclude the potential benefit of surgery. 

6

Features & Benefits 

Modular case design 

Dedicated basic 

instrument case 

Flexibility for sterilization method 

in either outerbase or in sterilization 

container. 

All instruments for three screw sizes in 

one set. 

Matta 

Plates 

Stainless steel cold–worked 

processed and annealed 

plates available 

Straight and curved plate options 

Dedicated symphysis pubis 

plate 

Rounded plate ends 

3.5/4.5mm screw plate hole 

option 

Low screw head profile 

in plate hole 

Plate screw hole angulation 

with 3.5mm screws 

Equal hole–spacing on plate 

Advanced plate bender 

Bending templates 

Excellent plate malleability for optimum 

adaptation to the pelvic surfaces. 

Indication–specific coverage. 

Precurved to fit anatomically, 

with the strength to meet the 

demands of load forces. 

Reduced potential for soft–tissue irritation. 

Flexibility of 3.5mm or 4.5mm 

cortical screws. 

Reduced potential for 

soft–tissue irritation. 

Optimized for posterior wall fixation. 

Great operative flexibility for screw and 

plate placement. 

Easy and smooth three–dimensional 

bending of plates. 

Flexibility to bend plates away from the 

surgical field. 

Screws 

Self-tapping cortical screws 

Four options of reduction pins 

Reduction Instruments 

Instrumentation 

Specific Nerve Retractors 

Spiked Disk 

Elastosil or Canevasit Handles 

Screwdriver Holding Sleeve 

Quick, simple and more efficient. 

Flexibility of choice of ø5mm or ø6mm 

and 150mm or 180mm length. 

Specialist forceps and optimized clamp 

design, uniquely sized for 3.5 and 

.5mm screws. 

Two sizes available for optimal soft 

tissue retraction. 

Can be used in combination with 

reduction forceps and ball spike for 

increased bone contact. 

Surgeon choice. 

Efficiency in pick up insertion/removal 

via “No-touch” technique. 

7

Plate Types 

Female Pelvis 

Radius 88mm 

Male Pelvis 

Radius 108mm 

Curved and straight plates 

Hard material, 2.5mm thick, 16mm 

spacing between the holes. 

Flex plates 

Soft (annealed) material, 2.5mm thick, 

12mm spacing between the holes, 

malleable. 

Symphysis plates 

Hard material, 3.2mm thick, 16mm 

spacing between the holes, 75mm 

radius. 

8

The Pelvic Ring and Acetabulum 

Pelvic Ring 

Matta 

Fracture Types: 

- Pubis Symphysis Disruption 

- Ilium Fracture 

- Sacroiliac Dislocation 

- Sacroiliac Fracture – 

Dislocation 

- Sacrum Fracture 

Acetabulum 

Fracture Types: 

Elementary Fractures 

- Posterior Wall 

- Posterior Column 

- Anterior Wall 

- Anterior Column 

- Transverse 

Associated Fractures 

- T-Shaped 

- Posterior Column & Posterior Wall 

- Transverse & Posterior Wall 

- Anterior Column Posterior– 

Hemitransverse 

- Both Column 

9

Assessment of Fractures 

The evaluation of a pelvic injury has to be based on repeated checks of the patient’s 

vital parameters, a detailed clinical examination and a structured radiographic 

evaluation. Emergency decisions can usually be based on a pelvis AP x-ray, whereas 

the detailed classification is assigned after additional oblique projections. 

Inlet Projection 

Positioning for inlet projection (Fig.1) 

and drawing of the X-ray appearance 

obtained from the Inlet projection 

(Fig 1a). 

Fig 1a Fig 1 

Outlet Projection 

Positioning for outlet projection (Fig 2) 

and drawing of the X-ray appearance 

obtained from the Outlet projection 

(Fig 2a). 

Fig 2a Fig 2 

10

Pelvic Ring Fracture Types 

Pubis Symphysis Disruption 

Matta 

• Fixation of a pure disruption 

of the Symphysis Pubis using 

a dedicated MPS four or 

six-hole symphysis plate. 

A minimum of two 3.5 or 4.5mm 

cortical screws on either side of the 

symphysis allows for good support. 

Reduction/Fixation through the Symphysis (Anterior) surgical approach 

(Pfannenstiel Type approach). 

Iliac Fracture 

Reduction/Fixation through the Ilioinguinal or Posterior Pelvic Ring surgical 

approaches. 

• One 6.5mm partially threaded 

cancellous screw inserted from the 

anterior-inferior iliac spine, passing 

1cm to 2cm above the acetabulum. 

• One 3.5mm independent lag screw in 

the iliac crest starting from the anterior 

branch. 

• One MPS Straight four-hole plate 

screwed over the fracture line in the 

area of the pelvic brim. 

11


Sacroiliac Dislocation 

• Fixation of a sacroiliac dislocation 

by using a 6.5 or 8.0mm cannulated 

iliosacral lag screw. 

Reduction/Fixation through the Posterior or Anterior Pelvic Ring surgical 

approach. 

Sacroiliac Fracture – Dislocation 

• One 4.5 or 6.5mm independent lag 

screw starting from the posteriorinferior 

iliac spine stabilizes the 

reduction of the inferior aspect of the 

iliac wing. 

• One MPS flex six-hole plate (annealed) 

stabilizes the reduction of the iliac crest. 

• One 6.5 or 8.0 cannulated 

ilio-sacral lag screw stablizes 

the sacroiliac joint. 

Reduction/Fixation through the Posterior Pelvic Ring surgical approach. 

12


Sacrum Fracture 

Matta 

• Fixation of a sacrum fracture 

by placing two 6.5 or 8.0mm 

cannulated lag screws (preferably 

16mm thread) or 6.5mm cancellous 

screw alternatively through the lateral 

iliac wing and advancing these screws 

into the S1 and S2 vertebral body. 

Reduction/Fixation through the Posterior Pelvic Ring surgical approach. 

13

Acetabular Fracture Types 

Posterior Wall 

• Two 3.5mm independent lag screws 

initially fix the fragments with the 

desired anatomical reduction. 

• One MPS Curved R108 six or 

seven-hole plate or alternatively a 

MPS Flex eight-hole plate (annealed) 

spans the fragments along its axis 

(Neutralization plate). 

Reduction/Fixation through the Kocher-Langenbeck surgical approach. 

Posterior Column 

• Start definitive fixation with an 

independent lag screw from the distal 

fragment into the posterior buttress of 

the ilium. 

• One MPS curved six-hole plate, 

alternatively, a Flex eight-hole plate 

along the acetabular margin maintains 

the reduction. 


14


Anterior Wall 

Matta 

• One or two independent lag screws fix 

the reduced fragments. 

• One MPS Curved plate 

bridges the fragment on the pelvic 

brim from the iliac fossa to the intact 

part of the pubic ramus. 

Reduction/Fixation through the Ilioinguinal surgical approach. 

Anterior Column 

• An independent lag screw first maintains 

the reduction. Then a MPS Curved 

10-hole plate is shaped to adapt itself 

optimally to the pelvic brim going from 

the pubic tubercle to the vicinity of the 

sacroiliac joint, with a minimum of two 

screws beyond the fracture line. 

• All central screws should be parallel to 

the quadrilateral surface. 

Reduction/Fixation through the Ilioinguinal or modified Stoppa surgical approach. 

15


Transverse 

• The posterior column is stabilized 

with an independant 3.5 or 4.5mm 

lag screw and an MPS annealed 

neutralization plate. 

• The anterior column is stabilized with 

an independant 4.5mm lag screw. 


T-Shaped 

• The posterior column is stabilized 

with an independant 3.5 or 4.5mm 

lag screw and an MPS curved or 

annealed neutralization plate. 

• The anterior column is stabilized with 

an independant 4.5mm lag screw. 

Reduction/Fixation through the Kocher-Langenbeck or Extended Iliofemoral 

surgical approaches. 

16


Posterior Column & Posterior Wall 

Matta 


• Initial fixation of the posterior 

column with an independent lag 

screw and/or five or six-hole plate. 

• If the posterior wall fragment is large 

enough, it should be fixed into its bed 

with one or two lag screws. 

• Definitive stabilization of the 

posterior wall and column is obtained 

by adding a seven or eight-hole MPS 

curved plate buttressing the posterior 

wall and anchored securely to the 

ilium and ischium using 3.5mm 

screws. 

Transverse & Posterior Wall 


• Two 3.5 or 4.5mm independent 

lag screws stabilize the transverse 

fracture component. 

• One or two independent 3.5mm lag 

screw maintained the reduction of the 

posterior wall fragment. 

• An MPS flex (annealed) eight-hole 

plate or alternatively a six or 

seven-hole curved plate is applied 

to buttress the posterior wall. 

17


Anterior Column Posterior-Hemitransverse 

Reduction/Fixation through the Ilioinguinal surgical approach. 

• Initial fixation of the posterior 

column is provided by a 3.5 or 

4.5mm lag screw through the 

pelvic brim. 

• Stabilization of the anterior column 

with one or two individual 3.5 or 

4.5mm lag screws from the ASIS and/ 

or the AIIS. 

• An MPS curved plate can then be 

placed along the pelvic brim starting in 

the sciatic buttress, just anterior to the 

SI joint. 

Both Column 

• Two 3.5mm independent lag screws in 

the iliac crest fix the reduction of the 

wing fracture lines. 

• One or two 3.5mm independent lag 

screws running from the upper aspect 

of the true pelvis fix the reduction of 

the posterior column. 

Reduction/Fixation through the Ilioinguinal or Extended Iliofemoral surgical 

approaches. 

• One independent lag screw fixes the 

reduction of a separated posterior 

fragment of the pelvic brim, just in 

front of the sacroiliac joint. 

• One eight-hole MPS annealed plate 

along the iliac crest to stabilize the 

iliac wing fracture. 

• One long MPS Curved 10 or 12-hole 

plate along the pelvic brim to stabilize 

the anterior column. 

18

Plate Bending 

The plate must be shaped correctly to fit with precision to the reduced contour of the pelvis or the acetabulum. 

The fitting of the plate on the bony 

surface should be as precise as possible 

so the insertion of screws will not 

cause the fragments to change position 

(Figure 1). 

During plating and screw insertion, 

it is always the bone that is drawn 

toward the plate, not the plate 

toward the bone (Figure 2). 

In certain instances it may be 

advantageous to contour the plate 

to a slight mismatch with the bone. 

Subsequent insertion and tightening 

of the screws causes the plate to 

manipulate the bone, therefore aiding 

in obtaining or maintaining the 

reduction. 

Matta 

Figure 1 – Correct 

Precise fitting of the plate. 

Less danger of displacement of the 

fragments during screw insertion. 

Figure 2 – Incorrect 

When tightening the screws, 

the fragment will be drawn towards 

the plate. 

For a plate to apply perfectly on a bone, it must be possible to shape it in all directions: 

• Bend it along its main axis 

(Figure 3a, 3b). 

• Bend it along its main axis (twist), 

to give it an helicoidal shape 

(Figure 4a, 4b). 

• Bend it “on the flat” to adapt to the 

curves of the iliac crest or the upper 

aspect of the pelvic brim, or to make 

it possible to span a fragment of the 

posterior wall or posterosuperior wall, 

along its main axis (Figure 5a, 5b). 

This type of on-the-flat bending should 

always be performed first, since it is 

very difficult to bend the plate in this 

fashion after a main axis bend or twist 

has been made. 

Figure 3a 

Figure 4a 

Figure 5a 

Figure 3b 

Figure 4b 

Figure 5b 

It’s an important fact that the plate 

must be bent, as far as possible, in the 

spaces between the holes, so as to alter 

them as little as possible (Figure 6). 

It is a well-known fact that rectangular 

plates do not bend in a regular fashion 

but rather at their holes (Figure 7). 

Sherman type plates with equal hole 

spacing and narrowing between the 

holes, are best adapted to such shaping 

and allow for a more precise adaptation 

to the pelvic contours. 

Figure 6 

Figure 7 

19

Screw Fixation 

The 3.5mm self-tapping cortical screws 

are the recommended screws for plate 

fixation and are best adapted to the 

pelvic bone. The 4.5mm cortical screw 

is often too large and its voluminous 

head creates a slight prominence above 

the plates, which may lead to soft tissue 

irritation in certain applications. 

Therefore, these screws should only 

be used to fix a plate in exceptional 

cases (symphysis pubis fixation), as 

when a smaller screw does not 

get sufficient purchase. 

Furthermore, the plate holes are 

designed to accept 3.5mm screws 

inserted at extreme angles, up to 35 o 

in all directions. 

This capability is essential, as it must 

be possible to avoid penetrating the 

hip joint or to be able to drive a screw 

obliquely in the area of the iliac bone, 

avoiding a previously inserted, isolated 

screw. 

35º 

Possible lag screws using 4.5mm 

cortical or 6.5mm cancellous screws: 

a) From the crest of the anterior border 

(screw 1) in the thickness of the iliac 

wing. It is always possible to insert 

a screw from the anteroinferior iliac 

spine, passing 1 or 2cm above the 

acetabulum (length 100 –120mm) 

(screw 2). 

b) Along the axis of the anterior 

column (screw 3). This screw is very 

useful to secure a transverse fracture 

or an anterior column, through an 

extended ilio–femoral approach. 

The screw should start from the 

posterior aspect of the iliac wing 

pillar approximately 3-4cm above 

the acetabulum. 

c) In the thickness of the iliac wing, 

but from posterior to anterior, 

starting from the posterior part 

of the iliac wing or the posterior– 

superior iliac spine, to reduce a 

sacroiliac joint fracture dislocation 

(screws 4 and 5). 

d) Along the axis of the posterior 

column (screw 6). 

For each of these lag screw insertions, 

it is essential to drill intermittently, step 

by step, and change the direction of the 

drill if you feel penetration of a cortex. 

Remain in the correct axis and advance 

the drill as far as possible. 

20

Screw Fixation 

Independent Interfragmentary 

Compression 

Often, independent (isolated) 

interfragmentary lag screws are used in 

conjunction with pelvic and acetabular 

fracture fixation.The screw thread 

takes no purchase in the near fragment 

because the screw has a shaft with no 

thread and /or the drill hole in the 

near fragment is equal to the outside 

diameter of the screw. 

Therefore, the cortex in the near 

fragment has to be overdrilled to create 

a “gliding” hole. Overdrilling the cortex 

in this manner allows the screw thread 

to take purchase in the bone of the 

opposite fragment. 

Matta 

Drill Guides 

Use the Double Drill Guide REF 

702417 and the 4.5mm Drill or Double 

Drill Guide REF 702418 and Drill 

3.5mm for screws 3.5mm to overdrill 

the near cortex. Insert the opposite side 

of the relevant Drill Guide into the 

pre-drilled hole for precise axial 

alignment and use the corresponding 

drill for the corehole of the screw. 

This procedure should prevent the loss 

of reduction and fixation during screw 

insertion. 

21


The Matta Pelvic Systems forceps 

and other reduction instruments are 

designed for use with the irregular, 

large and flat bony surfaces of the pelvic 

region. 

The angles and length of the jaws 

are designed to accommodate the 

innominate bone from the crest to 

the pelvic brim and to provide 

flexibility for various surgical 

approaches. 

Reduction of acetabular fractures 

are best performed on the orthopædic 

extension table allowing distal and 

lateral traction. 

Reduction Forceps with Points 

Faraboef Forceps 

702926 – L130mm 

702927 – L200mm 

These forceps can be applied directly 

to the bone’s surface or be used with 

shallow drill holes. 

702928 – L190mm 

702929 – L250mm 

The versatile Faraboef clamps can be 

used to grasp and manipulate the iliac 

wing, or as reduction forceps with 

provisional screws of either 3.5mm or 

4.5mm diameter. 

22

Matta 


Matta Reduction Forceps 

Reduction Forceps for Screws, 

Jungbluth 

Verbrugge Forceps 

702921 – Small 

702922 – Large 

These two oblique forceps are designed 

so that the handles angle away from 

both the surgeon’s sight line and 

critical soft tissue structures. The sharp 

points provide a secure hold on the 

pelvic surfaces, while the balls prevent 

penetration of bone with a thin cortex. 

702924 – ø4.5mm 

702925 – ø3.5mm Right 

702947 – ø3.5mm Left 

These two forceps have been designed 

to be used with either 3.5mm or 4.5mm 

screws (3.5mm version available in left 

or right option). Screws inserted on 

the opposite side of the fracture allow 

considerable reduction forces and 

manipulation in all three planes. 

700641 

For easier reduction, there are times 

when only one screw is inserted, 

requiring the application of one jaw of 

the Verbrugge forceps. The other jaw 

takes direct hold on another part of the 

bony surface. 

Example: The angle of the greater 

sciatic notch. 

Reduction Forceps, King Tong 

Sciatic Nerve Retractor 

Straight Ball Spike 

702930 – 2x1 Jaws 

702948 – 1x1 Jaws 

This long forceps with three-pointed-ball 

tips allow reduction of perpendicular 

fractures. The long handles provide 

increased leverage for difficult 

reductions. These forceps are also 

available in a 1x1 Jaws version. 

702915 – Small 

702916 – Large 

Two sizes available for better 

soft-tissue retraction. 

702911 

This reduction instrument is used 

as a pusher with pointed ball tip to 

reduce bone fragments. 

To distribute the reduction forces over 

a increased area, the Spiked Disc can be 

clipped onto the ball tip. 

23

External Fixation Pelvic Frame 

Hoffmann II MRI External Fixation System offers rapid application in times of hemodynamic compromise with the ability to 

access the abdomen and pelvic viscera for secondary procedures. 

External Fixation is most appropriate for open-book pelvic fractures in which the posterior structures are at least partially 

intact, or lateral compression injuries with internal rotation of the hemipelvis. 

Hoffmann II MRI 

Features 

‘Snap-Fit’ connections 

Single point of tightening 

Small, lightweight clamps 

Color–coded components 

Non-ferromagnetic materials 

Benefits 

Rapid frame construction. 

Fast and easy frame construction. 

Visualization and access to the fracture site. 

Quick and easy identification. 

No frame displacement using MRI. 

Apex Pins 

Features 

Independent, multiplanar pin 

placement 

Self-drilling tip 

316L Stainless Steel 

Double helical flute 

Cylindrical thread design 

Benefits 

Stable frame construction. 

No pre-drilling necessary. 

MRI Conditional. 

Improved pin/bone interface. 

Improved purchase and pull out 

resistance. 

Pubis symphysis dislocation. Ex-Fix stabilization. Definitive treatment. 

24

Hoffmann II MRI - Pin Placement Techniques 

The insertion of two K-wires, 

one on the medial side and one on 

the lateral side of the iliac wing, 

provides an accurate targeting method. 

They identify both borders of the crest 

and plane of the ilium toward the 

acetabular roof, helping to ensure safe 

and correct placement of the Apex pins 

between the two tables of the ilium. 

Avoid penetration of the medial cortex 

in order to limit pelvic viscera risk. 

Due to the supraacetabular bone mass 

being significantly thicker a frame 

construct mounted on a single Apex 

pin offers improved rigidity. Care has 

to be taken not to injure the lateral 

femoral cutaneous nerve during pin 

incretion. The orientation of the Apex 

pin can be perpendicular to the body 

axis or directed somewhat cephalad, 

depending on the location of the 

starting point in relation to the greater 

sciatic notch. 

Illiac Crest Pin Placement. 

Ex–Fix 

Illiac Crest and Inferior Illiac spine combined pin placement. 

Illiac Spine pin placement. 

25

Hoffmann Xpress Immediate Care 

Features 

Light weight Clamps 

Pin clamp with integrated post 

Removable/reversible Pin Insert 

Coupling with ‘Snap-Fit’ 

mechanism 

360º independent rotation on 

either side of the Universal 

Coupling 

MRI conditional 

Sterile packed 

Benefits 

Visualization and access to the fracture 

site. 

Complete versatility of the frame. 

Fast conversion from pin to tube, into 

tube to tube coupling. 

Allows for a non-slip connection to the 

rod or pin. 

Unlimited frame configuration options. 

No additional risk for the patient in a 

MRI environment up to 3.0 Tesla. 

Safe and fast for accute trauma 

situations. 

26


Technical Details – 

Self-Drilling/Self-Tapping Apex Pin 

Pin Design 

The self-drilling tip of the Apex Pin 

acts like a new, sharp drill bit every 

time, and therefore, pre-drilling is 

not necessary. Combined with unique 

cutting geometry, this one-step 

procedure allows the pin to maintain a 

reduced insertion temperature below 

50°C due to decreased friction. 

A double helical flute creates a 

homogeneous thread profile that 

transports bone chips out of the drill 

hole for improved pin/bone interface. 

Ex–Fix 

The U-shaped thread maximizes contact 

with the bone and controls stress 

distribution on the pin/bone interface 

by optimizing radial tension. 

The highly advanced cutting geometry 

allows for more precise pin insertion 

with reduced insertion time and 

temperature for optimal performance. 

The cylindrical thread is designed to 

improve bone purchase, and pull-out 

resistance, and offers the possibility 

to backing out the pin without 

compromising fixation. 

U-shaped thread 

Self-drilling tip 

27

Asnis III Screw Fixation 

The Asnis III Cannulated Screw Systems have been designed to optimize surgical outcomes while simplifying procedures. 

The systems incorporate several features intended to enhance screw placement, insertion and removal. 

Features 

Low Profile Screw Head 

Stainless Steel (316LVM) 

Shaft and Core Diameter Equal 

Reverse Cutting Flute 

Self-drilling / self-tapping design 

Large diameter Guide Wires 

Percutaneous screw placement 

Partially threaded 

8mm Long screws 

Benefits 

Reduced potential for soft-tissue irritation. 

Improved strength. 

Added strength. 

To facilitate removal. 

Improves operating efficiency. 

More precise screw placement. 

Less surgical trauma. 

Interfragmentary compression. 

Improved stability and bilateral fixation. 

28

Asnis 

Asnis III Pelvic Screws 

8.0mm Cannulated Screws 

25mm Partial Thread 

6.5mm Cannulated Screws 

20mm Partial Thread 

REF. Description 

326725 Asnis III Cannulated Screw 8.0 x 125mm 












REF. Description 


















Note: 

For Sterile screws add ‘S’ to REF 

29

Acetabular Articular Fragments Augmentation 

with HydroSet 

Fractures of the posterior wall of the acetabulum comprise one-fourth to one-third 

of all acetabular fractures, representing the most common pattern of fracture of the 

acetabulum.* 

In fractures with intra-articular comminution and intercalary osteochondral 

fragments, one can use HydroSet calcium phosphate cement, an injectable, 

sculptable bone substitute to maintain the anatomical reduction of these small 

articular fragments before definitive fixation of the overlying posterior-wall 

fragment is completed. 

It is recommended that the femoral head is used as a template to orientate and to 

reduce the different articular fragments. 

Features 

Excellent Wet-Field Characteristics 

Fast Setting 

Isothermic 

Injectable or Manual Implantation 

Osteoconductive 

Radiopaque 

Benefits 

Decreases potential for waiting time. 

Limited waiting time. 

No damaging heat is released to the 

surrounding tissue. 

Greater number of options for the 

surgeon and the opportunity to sculpt 

HydroSet. 

A biologically compatible scaffold 

that promotes healthy in-growth, later 

remodels to the bone. 

Impenetrable by X-ray. Visible under 

fluroscopy. 

* Baumgaertner MR. Fractures of the posterior wall of the acetabulum. J Am Acad Orthop Surg. 1999;7:54–65. 

Aho AJ, Isberg UK, Katevuo VK. Acetabular posterior wall fractures: 38 cases followed for 5 years. Acta Orthop Scand. 1986;57:101–5 

Letournel E, Judet R. Fractures of the Acetabulum. 2nd ed. Berlin, Germany: Springer Verlag;1993. 

30

HydroSet 

Ordering Information – MPS Plates 

MPS Curved R108 Plate 

Stainless Plate Holes Titanium 

Steel Length REF 

REF mm 

425604 58.5 4 4 N/A 

425605 74.5 5 4 N/A 

425606 90.5 6 4 N/A 

425607 106.5 7 N/A 

425608 122.5 8 4 N/A 

425609 138.5 9 N/A 

425610 154.5 10 4 N/A 

425611 170.5 11 N/A 

425612 186.5 12 4 N/A 

425613 202.5 13 N/A 

425614 218.5 14 4 N/A 

425615 234.5 15 N/A 

425616 250.5 16 4 N/A 

425618 282.5 18 N/A 

425620 314.5 20 N/A 

MPS Straight Plate 



REF mm 

425702 26.5 2 N/A 

425703 42.5 3 4 N/A 

425704 58.5 4 4 N/A 

425705 74.5 5 N/A 

425706 90.5 6 4 N/A 

425707 106.5 7 N/A 

425708 122.5 8 4 N/A 

425709 138.5 9 N/A 

425710 154.5 10 4 N/A 

425711 170.5 11 N/A 

425712 186.5 12 4 N/A 

425713 202.5 13 N/A 

425714 218.5 14 4 N/A 

425715 234.5 15 N/A 

425716 250.5 16 4 N/A 

425718 282.5 18 N/A 

425720 314.5 20 N/A 

MPS Curved R88 Plate 



REF mm 

425654 58.5 4 4 N/A 

425655 74.5 5 4 N/A 

425656 90.5 6 4 N/A 

425657 106.5 7 N/A 

425658 122.5 8 4 N/A 

425659 138.5 9 N/A 

425660 154.5 10 4 N/A 

425661 170.5 11 N/A 

425662 186.5 12 4 N/A 

425663 202.5 13 N/A 

425664 218.5 14 4 N/A 

425665 234.5 15 N/A 

425666 250.5 16 4 N/A 

425668 282.5 18 N/A 

425670 314.5 20 N/A 

MPS Flex Plate (annealed) 



REF mm 

425754 46.5 4 4 N/A 

425755 58.5 5 N/A 

425756 70.5 6 4 N/A 

425757 82.5 7 N/A 

425758 94.5 8 4 N/A 

425759 106.5 9 N/A 

425760 118.5 10 4 N/A 

425761 130.5 11 N/A 

425762 142.5 12 4 N/A 

425763 154.5 13 N/A 

425764 166.5 14 4 N/A 

425765 178.5 15 N/A 

425766 190.5 16 4 N/A 

425767 202.5 17 N/A 

425768 214.5 18 4 N/A 

425770 238.5 20 N/A 

425772 262.5 22 N/A 

MPS Symphysis Plate, R75 



REF mm 

425794 58.5 4 4 N/A 

425796 90.5 6 4 N/A 

31 

4 Recommended set item

Ordering Information – MPS Screws 

3.5mm Cortical Screw, Self–Tapping 

Stainless Screw Titanium 


REF 

mm 

338610 10 N/A 

338612 12 4 N/A 

338614 14 4 N/A 

338616 16 4 N/A 

338618 18 4 N/A 

338620 20 4 N/A 

338622 22 4 N/A 

338624 24 4 N/A 

338626 26 4 N/A 

338628 28 4 N/A 

338630 30 4 N/A 

338632 32 4 N/A 

338634 34 4 N/A 

338636 36 4 N/A 

338638 38 4 N/A 

338640 40 4 N/A 

338642 42 N/A 

338644 44 N/A 

338645 45 4 N/A 

338646 46 N/A 

338648 48 N/A 

338650 50 4 N/A 

338655 55 4 N/A 

338660 60 4 N/A 

338665 65 4 N/A 

338670 70 4 N/A 

338675 75 4 N/A 

338680 80 4 N/A 

338685 85 4 N/A 

338690 90 4 N/A 

338695 95 4 N/A 

338700 100 4 N/A 

338705 105 4 N/A 

338710 110 4 N/A 

338715 115 N/A 

338720 120 N/A 

4.5mm Cortical Screw, Self-Tapping 



REF 

mm 

340614 14 4 N/A 

340616 16 4 N/A 

340618 18 4 N/A 

340620 20 4 N/A 

340622 22 4 N/A 

340624 24 4 N/A 

340626 26 4 N/A 

340628 28 4 N/A 

340630 30 4 N/A 

340632 32 4 N/A 

340634 34 4 N/A 

340636 36 4 N/A 

340638 38 4 N/A 

340640 40 4 N/A 

340642 42 4 N/A 

340644 44 4 N/A 

340646 46 4 N/A 

340648 48 4 N/A 

340650 50 4 N/A 

340652 52 4 N/A 

340654 54 4 N/A 

340655 55 N/A 

340656 56 4 N/A 

340658 58 4 N/A 

340660 60 4 N/A 

340662 62 N/A 

340664 64 N/A 

340665 65 4 N/A 

340666 66 N/A 

340668 68 N/A 

340670 70 4 N/A 

340672 72 N/A 

340675 75 4 N/A 

340676 76 N/A 

340680 80 4 N/A 

340685 85 4 N/A 

340690 90 4 N/A 

340695 95 4 N/A 

340700 100 4 N/A 

340705 105 4 N/A 

340710 110 4 N/A 

340715 115 4 N/A 

340720 120 4 N/A 

340725 125 N/A 

340730 130 N/A 

340735 135 N/A 

340740 140 N/A 

340745 145 N/A 

340750 150 N/A 

32 


Ordering Information – MPS Screws 

6.5mm CANCELLOUS Screw, 16mm Thread 



REF 

mm 

341030 30 N/A 

341035 35 N/A 

341040 40 N/A 

341045 45 N/A 

341050 50 4 N/A 

341055 55 4 N/A 

341060 60 4 N/A 

341065 65 4 N/A 

341070 70 4 N/A 

341075 75 4 N/A 

341080 80 4 N/A 

341085 85 4 N/A 

341090 90 4 N/A 

341095 95 4 N/A 

341100 100 4 N/A 

341105 105 4 N/A 

341110 110 4 N/A 

341115 115 4 N/A 

341120 120 4 N/A 

341125 125 4 N/A 

341130 130 4 N/A 

341135 135 N/A 

341140 140 N/A 

341145 145 N/A 

341150 150 N/A 

6.5mm CANCELLOUS Screw, 32mm Thread 



REF 

mm 

342045 45 N/A 

342050 50 4 N/A 

342055 55 4 N/A 

342060 60 4 N/A 

342065 65 4 N/A 

342070 70 4 N/A 

342075 75 4 N/A 

342080 80 4 N/A 

342085 85 4 N/A 

342090 90 4 N/A 

342095 95 4 N/A 

342100 100 4 N/A 

342105 105 4 N/A 

342110 110 4 N/A 

342115 115 4 N/A 

342120 120 4 N/A 

342125 125 4 N/A 

342130 130 4 N/A 

342135 135 N/A 

342140 140 N/A 

342145 145 N/A 

342150 150 N/A 

Washer 

Stainless Diameter Thickness Titanium 

Steel mm mm REF 

REF 

390016 13.0 4 1.5 N/A 

390019 9.0 4 1.0 N/A 

For the full range of standard non-self-tapping screws, 

please refer to the Stryker Osteosynthesis Product Catalog 

33 


Ordering Information – MPS Instruments 

REF 

Description 

REF 

Description 

700351 4 Calibrated Drill Bit ø2.5mm x 

180mm, AO Fitting 



700353 4 Drill Bit ø3.5mm x 180mm, 

AO Fitting 





700354 4 Drill Bit ø4.5mm x 180mm, 

AO Fitting 

702804 4 Tap ø3.5mm x 180mm, 

AO Fitting 

702806 4 Tap ø4.5mm x 180mm, 

AO Fitting 

702807 4 Tap ø6.5mm x 180mm, 

AO Fitting 

702811 4 Countersink ø6.0mm x 

100mm,AO Fitting 

702812 4 Countersink ø8.0mm x 

100mm,AO Fitting 

702842 4 Screwdriver Hex 2.5mm, 

L280mm 


L300mm 


L165mm, AO Fitting 


L165mm, AO Fitting 

702861 4 Screwdriver Holding Sleeve for 

Screws ø3.5mm 

702862 4 Screwdriver Holding Sleeve for 

Screws ø4.5/6.5mm 

702417 4 Double Drill Guide ø3.2/4.5mm 

702418 4 Double Drill Guide ø2.5/3.5mm 

702876 4 Depth Gauge 0-110mm, 

for Screws ø2.7/3.5/4.0mm, 

Titanium 

702877 4 Depth Gauge 0-150mm, for 

Screws ø4.5/6.5mm, Titanium 

702911 4 Straight Ball Spike 

702912 4 Straight Ball Spike, AO Fitting 

702923 4 Spiked Disk 

702427 4 T-handle small, AO Quick 

Coupling 

702428 4 Small Teardrop-Handle, 

AO Quick Coupling 

702429 4 Large Teardrop-Handle, 

AO Quick Coupling 

702915 4 Small Sciatic Nerve Retractor 

702916 4 Large Sciatic Nerve Retractor 

390083 4 Reduction Pin ø5.0mm L150mm, 

AO Fitting 

390084 4 Reduction Pin ø5.0mm L180mm, 

AO Fitting 

900106 4 Screw Forceps 

710312 4 Template MPS Flex plate, 8 H 

710313 4 Template MPS Flex plate, 18 H 

710315 4 Template MPS Straight plate, 8 H 

710316 4 Template MPS Straight plate, 18 H 

710318 4 Template MPS Curved R108 plate, 8 H 




702902 4 Bending Iron for Pelvic plates 

702903 4 Bending Plier 

702921 4 Small Repositioning Forceps, 

type Matta 

702922 4 Large Repositioning Forceps, 

type Matta 

702924 4 Repositioning Forceps for Screws 

ø4.5mm 


ø3.5mm, Right 


ø3.5mm, Left 

702926 4 Small Reduction Forceps with Points 

L130mm 

702927 4 Large Reduction Forceps with Points 

L200mm 

702928 4 Faraboef Forceps L190mm 

702929 4 Faraboef Forceps L250mm 

702930 4 Repositioning Forceps, 2x1 Jaws 

702948 4 Repositioning Forceps, 1x1 Jaws 

702932 4 Repositioning Forceps with Serrated 

Jaws L140mm 

700641 4 Modified Verbrugge Forceps 

700647 4 Curved Chisel 

Optional Instruments 

390086 Reduction Pin ø6.0mm x 150mm, 

AO Fitting 

390087 Reduction Pin ø6.0mm x 180mm, 

AO Fitting 

700367 Large T-Handle, AO Quick Coupling 

702845 Screwdriver Hex. 2.5mm, L280, with 

Canevasit Handle 

702846 Screwdriver Hex. 3.5mm, L300, 

with Canevasit Handle 

702847 Straight Ball Spike L300mm, 

with Canevasit Handle 

702848 Canevasit Handle Small, 

AO Coupling 

702849 Canevasit Handle Large, 

AO Coupling 

710311 Template MPS Flex plate, 5 H 

710314 Template MPS Straight plate, 5 H 

710317 Template MPS Curved R108 plate, 5 H 

710320 Template MPS Curved R88 plate, 5 H 

34 


Ordering Information – MPS Cases and Trays 

REF 

Description 

REF 

Description 

901557 4 Plastic Base 

(Implant Case Plates) 


(Implant Case Screws) 

901686 4 Screw Rack with Lids 


901591 Metal Base Optional 





(Basic Instruments) 

901681 4 Plastic Lid 




901682 4 Tray Insert 




901683 4 Rack with Lid # 1 


901688 4 Upper Tray Insert 


901684 4 Rack with Lid # 2 


901689 4 Lower Tray Insert 





(Reduction Instruments) 


35 


Ordering Information – Hoffmann II MRI Components 

REF Description 

Hoffmann II MRI Components 

4921-2-020 Five-Hole Pin Clamp for ø4, ø5, and ø6mm pins 

4921-2-060 10-Hole Pin Clamp for ø4, ø5, and ø6mm pins 

4921-2-080 Pelvic Clamp for ø4, ø5, and ø6mm pins 

4921-1-010 Rod to Rod Coupling for ø8mm rods or posts 

4921-1-020 Pin to Rod Coupling for ø4-5mm pins/ø8mm rods or posts 

4921-1-030 Inverted Pin to Rod Coupling for ø8mm rods or posts/ø4-5mm pins 

4921-2-140 30° Angled Post ø8mm 

4921-2-120 Straight Post ø8mm 

ø8mm Rods 

5028-8-065 Carbon Connecting Rod 65mm 










174mm (L) 

5028-7-030 Semi-Circular Carbon Rod 174mm (L) 

36

Ordering Information – Hoffmann II MRI 

Instruments 

REF 

Description 

Hoffmann II Instruments for MRI System (not for use in the MRI suite) 

4920-9-010 Stabilization/Reduction Wrench 

4920-9-020 Thumbwheel 

4920-9-030 7mm T-Wrench/ø5-6mm Pin Inserter 

4920-9-036 7mm Spanner Wrench 

4921-9-984 Storage Case Lid 

4921-9-983 Storage Case Upper Insert 

4921-9-982 Storage Case Lower Insert 

4921-9-981 Storage Case Base 

37

Ordering Information – Hoffmann 

REF 

Description 

Hoffmann Xpress Components 

4980-1-010S Universal Coupling Ø15/15mm 4-5/15mm 

For Tubes and Curved Rod 

15mm Ø, Pins 4mm, 5mm 

and 6mm cancellous 

(shaft Ø5mm) 

4980-2-020S 5 Pin Clamp 2 Posts 

For Pins Ø4mm, 5mm and 

6mm and to connect with 

Universal Coupling 

4980-2-010S 5 Pin Clamp 1 Post 

For Ø4, Ø5 and Ø6mm pins 

REF Description Length mm 

Hoffmann Xpress Components 

4980-3-150S Aluminium Tube 






150mm 

210mm 

260mm 

330mm 

440mm 

500mm 

4980-3-020S Semi Circular Curved Tube Ø15mm 160 x 235 

38

Ordering Information – Apex Pelvic Pins 

Self Drilling/Self Tapping 

Stainless Steel Diameter Total Thread 

REF mm Length Length 

Thread/Shaft mm mm 

5018-6-150 5.0 150 50 

5018-3-180 5.0 180 35 

5018-6-180 5.0 180 50 

5018-8-180 5.0 180 60 

5018-5-200 5.0 200 50 

5018-6-200 5.0 200 60 

5018-5-250 5.0 250 50 

5018-7-250 5.0 250 70 

5021-7-150 6.0 150 50 

5021-6-180 6.0 180 60 

5021-8-200 6.0 200 70 

5021-8-250 6.0 250 80 

Cancellous 

Stainless Steel Diameter Total Thread 

REF mm Length Length 

Thread/Shaft mm mm 

5015-3-120 6.0/5.0 120 35 

5015-4-150 6.0/5.0 150 40 

5015-5-150 6.0/5.0 150 50 

5015-6-180 6.0/5.0 180 60 

5015-7-250 6.0/5.0 250 70 

39

Ordering Information - Asnis III 

6.5mm Implants - 20mm Thread Length 

Stainless Steel Diameter Total Titanium 

REF mm Length REF 

mm 

326040 6.5 40 602640 

326045 6.5 45 602645 

326050 6.5 50 602650 

326055 6.5 55 602655 

326060 6.5 60 602660 

326065 6.5 65 602665 

326070 6.5 70 602670 

326075 6.5 75 602675 

326080 6.5 80 602680 

326085 6.5 85 602685 

326090 6.5 90 602690 

326095 6.5 95 602695 

326100 6.5 100 602700 

326105 6.5 105 602705 

326110 6.5 110 602710 

326115 6.5 115 602715 

326120 6.5 120 602720 

6.5mm Implants - 40mm Thread Length 



mm 

326255 6.5 55 602855 

326260 6.5 60 602860 

326265 6.5 65 602865 

326270 6.5 70 602870 

326275 6.5 75 602875 

326280 6.5 80 602880 

326285 6.5 85 602885 

326290 6.5 90 602890 

326295 6.5 95 602895 

326300 6.5 100 602900 

326305 6.5 105 602905 

326310 6.5 110 602910 

326315 6.5 115 602915 

326320 6.5 120 602920 

326325 6.5 125 602925 

326330 6.5 130 602930 

8.0mm Implants - 25mm Thread LENGTH 



mm 

326725 8.0 125 N/A 

326730 8.0 130 N/A 

326735 8.0 135 N/A 

326740 8.0 140 N/A 

326745 8.0 145 N/A 

326750 8.0 150 N/A 

326755 8.0 155 N/A 

326760 8.0 160 N/A 

326765 8.0 165 N/A 

326770 8.0 170 N/A 

326775 8.0 175 N/A 

326780 8.0 180 N/A 

Instruments and Case 

*Optional 

Note: 

For Sterile screws add ‘S’ to REF 

702462S Asnis III Threaded Guide Wire ø3.2 x 300mm 

*702463 Asnis III Guide Wire without Thread ø3.2 x 300mm 

*702627 Asnis III Guide Wire with Calibrations and 

Quick Release Fitting ø3.2 x 300mm 

702626 Asnis III 6.5/8.0mm,Drill Bit ø3.2 x 300mm 

702495 Asnis III 8.0mm Direct Measuring Gauge for ø3.2mm Guide Wires 

702629 Asnis III 6.5/8.0mm,Cannulated Screwdriver with 

Elastosil Handle – Hex 5.0mm 

901596 Asnis III 8.0mm Plastic Base with Lid 

40

Ordering Information – HydroSet Injectable HA 

Bone Substitute 

REF 

Description 

397003 3cc HydroSet Bone Substitute 




41

Notes 

42

Notes 

43

Stryker Trauma AG 

Bohnackerweg 1 

CH-2545 Selzach 

Switzerland 

www.osteosynthesis.stryker.com 

This document is intended solely for the use of healthcare professionals. A surgeon must always rely on his or her own 

professional clinical judgment when deciding whether to use a particular product when treating a particular patient. 

Stryker does not dispense medical advice and recommends that surgeons be trained in the use of any particular product 

before using it in surgery. The information presented in this brochure is intended to demonstrate a Stryker product. 

Always refer to the package insert, product label and/or user instructions including the instructions for Cleaning and 

Sterilization (if applicable) before using any Stryker products. Products may not be available in all markets. 

Product availability is subject to the regulatory or medical practices that govern individual markets. 

Please contact your Stryker representative if you have questions about the availability of Stryker products in your area. 

Stryker Corporation or its divisions or other corporate affiliated entities own, use or have applied for the following 

trademarks or service marks: Stryker, Apex, Hoffmann Xpress, Hoffmann II, Asnis, Hydroset, Matta. 

All other trademarks are trademarks of their respective owners or holders. 

The products listed above are CE marked. 

Literature Number: 982350 

LOT A3309 

REF NO. 

982350 

Copyright © 2009 Stryker 

44 

A3309

Pelvic & Acetabular Fracture Treatment - Stryker

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