PediTST Butterfly 8 Plate ENG

Introduction
Butterfly 8 Plate System consists double

articulated plates and non-threaded locking
screws. The stress on the screws supported by the
plate thanks to the articulated design.
By using non-threaded locking screws, the
epiphyseal damage is minimized.
Index
1 Introduction
1 Indications
2 Features
3 Instruments
5 Surgical Technique
9 Plate Extraction
10 Set Detail
Indications
Butterfly 8 Plate has many patologycal indications.

It is used for posttraumatic, metabolic,
neuromuscular, idiopathic and congenital
pathologies. It is preferred for long bone
deformities and corrections of inequal legs.
Warning:
This descriptive catalog is not sufficient as being
unaided for proper use of the products
intraoperatively. It is highly recommended that
implantation and instrument sets must be used by a
surgeon who is trained-experienced about the
product performances and usage.
1
Features
Butterfly 8 Plate is available in two sizes, 13 and 16
mm depending on the distance between the screw
holes. The system is produced by biocompatible
Titanium alloy.
±18˚
16 mm plate with 2 and 4 holes options are available.
Butterfly 8 Plate has a durable structure against to the

force for hemiepiphysiodesis applications.
It can be applied with a precise and simple surgical

technique which provides an easy adaptation to
different bone morphologies.
±18˚
The hinged structure of the system ensures that the
plate is fully aligned with the bone surface, providing
an ideal positioning on the growth plate. Butterfly 8
Plate facilitates applications by providing the desired
full anatomical fit to inclined surfaces.
Double articulated plate has more angulation than

single articualted plate.
The Locking Peg screws have no risk of pull out when

4 holes
16 mm
they are compared with usual screws. They also have

minimal damage to the epiphysis.
2 holes
16 mm
2 holes
13 mm
2
Instruments
Penset 03362020100
Length Measuring Device 03722000004
K-Wire Sleeve 03362007512
Threaded Drill Sleeve 3.2X65 mm 03362006532
Plate Holder 03362010010
Cannuldated Drill 3.2X1.25X30X170 mm 23212530170
Kirschner Wire Trocar Point 1.2X150 mm 23410150112
3
Screw Extractor 03362010100
Cannulated Screw Driver Quick Tip 2.5X Ø 5 X130 mm 02050100425
Soft Screw Driver Quick Small 02010101001
Bone Hammer Small With Slotted End 01194003009
4
Surgical Technique
The deformity is seen under fluroscopy and skin incision is made with
a 3 cm incision. The periosteum is reached after crossing the muscle
and fascia. It should be very careful not to damage the periosteum. In
order to prevent damage to the perichondral ring, a 1.2 X 150 mm
K-wire is used to detect localization under fluoroscopy. K-Wire placed
to the pyhsis.
The plate is positioned over the K-Wire by passing through the hole in
the center of the plate.
It should be taken into consideration that the plate should be centered

on the AP and Lateral radiographs.
5
Butterfly 8 plate is positioned centrally to growth plate and screws sent parallel
or angled. The Peg Screws should be longerthan 1/3 of the growth plate.
Threaded end of 3.2X65 mm Drill Sleeve is attached to plate,

the other end to Plate holder.
After the plate localization is provided, K-Wires are sent by inserting

K-Wire Guide into the Drill Guide.
The length of the screws are determined by using the Length Measuring
Device over the K-Wires.
K-Wire Guide
6
*optional
A guide entrance hole is drilled by 3.2 mm Cannulated Drill through the
K-Wire for Peg Screws.
Cannulated
Drill
The Peg Screw is inserted to the Cannulated Screwdriver and

sent by the help of the Hammer.
7
Screw heads are locked to the plate by turning the Screwdriver.
After the K-Wires are pulled out, it must be checked that there is no
space between the plate and the bone. The space between plate
and bone may cause screw breakage in the follow-up period.
The metaphysis and epiphysis detection of the Screws are checked

for the last time One plate may be applied for each physisis.
After the fixation process is completed, bleeding control is provided with tourniquet application. Skin and fascia
plans are carefully closed and the subcutaneous and skin are closed.
Immobilization on next day is not recommended for patients . Weight bearing, knee flexion, extension
movements are recommended according to the pain tolerance.
8
Plate Extraction
The patients are checked 3 months period. The angles of the mechanical axes and joints are measured by the
X-ray. After the measured values are neutral, the plate is removed and the growth is continued normal.
The threaded head of the Peg screws is recovered by rotating the screw head with the normal screwdriver. There
is an extractor designed for removing the Butterfly 8 plate and Peg Screws.
The threaded section of the Extractor is attached to the threaded section of the Peg Screws. The Extractor is
retracted and the screw is removed. During removal, the Hammer With Slotted End can be used with slight hits.
9
Set Detail
code ubb description qty

33620000122 8680858426768 PEDI-ARTICULATED PLATE 2 HOLES (TI) 13 MM 4
20127002035 8680858427772 LOCK. CANN. PEG SCREW (TI) Ø3.5X20 MM 4

20427002040 8680858413737 LOCK.CANNULATED SCREW TI 4X20 MM 4
00000304010 8680858437764 PEDI-ART. PLATE&SCREW BOX 1
03362010010 8680858437733 PEDI-ARTICULATED PLATE HOLDER 1

03362010100 8680858437740 SCREW EXTRACTOR FOR PEDI-ART. PLT 1
03362006532 8680858437719 THREADED DRILL SLEEVE 3.2X65 MM 2
03362007512 8680858437726 K-WIRE SLEEVE 1.2X75 MM 2
03362020100 8680858437757 PENSET FOR PEDI-ARTICULATED PLATE 1
01194003009 8699931028157 BONE HAMMER SMALL WITH SLOTTED END 1
03722000004 8680858431144 LENGTH MEASURING DEVICE - EIGHT GROWTH PLATE 1
02010101001 8698673441187 SOFT SCREW DRIVER QUICK SMALL 1
04550129160 8699931032475 K-WIRE TUBE Ø12XØ9X160 MM 1
02050100425 8699931005417 CANNULATED SCREW DRIVER QUICK TIP 2.5XØ5X130MM 2
23410150112 8698673458840 KIRSCHNER WIRE TROCAR POINT 1.2X150 MM 4
23212530170 8680858426355 CANNULATED DRILL 3.2X1.25X30X170 MM 2
00000304100 8680858437771 PEDI-ARTICULATED PLATE 1. DESIGN TRAY 1

00270270080 8699931009019 CONTAINER 270X270X80 MM 1
10
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REV00/01.03.2019 PediTST reserves the right to update, change or modify contents and products at any time without any notice or liability.

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Introduction

Butterfly 8 Plate System consists double

Butterfly 8 Plate has many patologycal indications.

Butterfly 8 Plate has a durable structure against to the

It can be applied with a precise and simple surgical

Double articulated plate has more angulation than

The Locking Peg screws have no risk of pull out when

they are compared with usual screws. They also have

Length Measuring Device 03722000004

K-Wire Sleeve 03362007512

Threaded Drill Sleeve 3.2X65 mm 03362006532

Plate Holder 03362010010

Cannuldated Drill 3.2X1.25X30X170 mm 23212530170

Kirschner Wire Trocar Point 1.2X150 mm 23410150112

Cannulated Screw Driver Quick Tip 2.5X Ø 5 X130 mm 02050100425

Soft Screw Driver Quick Small 02010101001

Bone Hammer Small With Slotted End 01194003009

It should be taken into consideration that the plate should be centered

Threaded end of 3.2X65 mm Drill Sleeve is attached to plate,

After the plate localization is provided, K-Wires are sent by inserting

The Peg Screw is inserted to the Cannulated Screwdriver and

The metaphysis and epiphysis detection of the Screws are checked

code ubb description qty

20127002035 8680858427772 LOCK. CANN. PEG SCREW (TI) Ø3.5X20 MM 4

03362010010 8680858437733 PEDI-ARTICULATED PLATE HOLDER 1

00000304100 8680858437771 PEDI-ARTICULATED PLATE 1. DESIGN TRAY 1

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