Wrist Spanning and Fusion

The Avanti Wrist & Forearm System contains meticulously designed and manufactured implants to address the variety of wrist pathology encountered by today’s surgeons. The Spanning and Fusion plates are very low profile to facilitate application and reduce soft tissue complications. Far-cortical locking screws reduce construct rigidity to reduce stress shielding and promote rapid bone healing. Additionally, the Wrist & Forearm System contains all you may need to address associated injuries including fractures of the radius, ulna and carpal bones. Move forward with Avanti!

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Wrist Spanning and Fusion (single page version)Wrist Spanning and Fusion (double page version)


Bridge/Spanning plate for severe comminution, complex ligamentous injuries, expeditious rigid fixation or prolonged unloading of the wrist.

Separate incisions over the 2nd metacarpal and over the intersection of the thumb outcroppers and the wrist extensors, or a single extensile dorsal approach


Plate designed for ease of insertion and to fit comfortably in the 2nd dorsal compartment.

Passed from distal to proximal within the 2nd dorsal compartment or from proximal to distal under the outcroppers.

Secured first to the 2nd metacarpal and then to the radial metadiaphysis.

To be used as temporary fixation.

Removed usually at approximately 10 weeks post-operatively.


Pre-contured wrist fusion plates in standard and short bends as well as straight configurations.

Designed to be applied to the 3rd metacarpal and the radial metadiaphysis.

Tapered for ease of insertion and to reduce stress concentration at ends of the plate.

Low-profile to reduce hardware prominence and soft tissue irritation.

Cartilage and subchondral bone adjacent to the 3rd carpometacarpal, capitolunate and radiolunate (or radiocaptiate in case or prior /concomitant PRC) joints must be removed to expose cancellous bone


Excised carpal bones or distal radius (such as the dorsal distal radius) may be used as supplemental bone graft.

Plate is applied to the metacarpal first to insure correct plate positioning.

Screw placement with a bicortical non-locking screw in the oblong hole.

Axial compression is applied with the Dynamic.

Device prior to final fixation A variety of 2.7mm fasteners are available to obtain secure fixation


Cannulated, headless screws for carpal reconstruction and fragment-specific fixation.

Designed for ease of insertion, compression and secure fixation.

Suitable for partial wrist fusions, carpal fracture fixation, distal radius fragment fixation and distal ulna fracture fixation Intuitive, standard cannulated technique.

Wrist and Forearm Set


  • Volar Fixed-angle plate(R/L) 3-hole, 5-hole
  • Volar Fixed-angle plate, Wide (R/L) 5-hole
  • Volar PEEK plate (R/L) 3-hole, 5-hole, 7-hole, 9-hole, 11-hole
  • Ulna Plate 5-hole, 7-hole
  • Spanning Plate
  • Wrist Fusion Plate, Standard Bend
  • Wrist Fusion Plate, Short Bend
  • Wrist Fusion Plate, Straight
  • Curved Forearm Plate 6-hole, 8-hole, 10-hole
  • Straight Forearm Plate (R/L) 6-hole, 8-hole, 10-hole, 15-hole
  • 2.7mm Cannulated Screws 14mm-32mm (even lengths)
  • 2.7mm Locking Pegs 10mm–28mm (even lengths)
  • 2.7mm Locking Screws 8mm–28 mm (even lengths)
  • 2.7mm Far-Cortical Locking Screws 8mm–28 mm (even lengths)
  • 2.7mm Cortical Screws 8mm–28 mm (1mm increments 10-16)
  • 1.1mm K-wires
  • 1.6mm Compression K-wires


  • Twist Drill Bits 2mm, 2.7mm
  • Cannulated Drill Bit 2mm
  • Cannulated Screwdriver
  • AO Screwdriver
  • Screwdriver Handle
  • Wire Depth Gauge
  • Bone Clamp
  • Plate Bender
  • Dynamic Device
  • Hohman Retractor
  • Kickstand
  • Screw-in Drill guide
  • Handheld Drill guide
  • Pre-set Aiming Guides
  • Screw Depth Gauge

U.S. patent nr.:

US 9,814,503 B1
US 10,285,742 B1
US 10,517,657 B1
US 10,842,543 B2
US 11,083,505 B1
US 11,311,322 B1
US 11,452,552 B1
US 11,452,553 B1
US 11,457,931 B1
US 11,925,395 B1
US 11,937,858 B2