6515--598-23-3-784-0114-SEPG 316546 / MINI FRAG / 598-23-3-784-0114 (VA-23-00057004)

STATEMENT OF WORK CAVHS is requesting a new general set for orthopedics. The current set that we have is over 15 years old and we re unable to replace some of the items. The sets we have requested are general sets that, having them stocked and ready for the OR, will be of clinical benefit for hip fractures (DHS and cannulated 6.5/7.3 screw). - The mini fragment set is used for many fractures both in the upper and lower extremity, it gives multiple options to treat general fractures we see at the VA (hand, finger, ankle, foot, etc.). - Stocking the ankle trauma set again has clinical benefit as we see ankle fractures as part of our care of patients here at the VA (twisting injuries and even more complex pilon fractures we have treated since I have been here). - If these sets are available and stocked we would not have to wait for approval to borrow sets from UAMS which we do frequently to treat fractures here at the VA. - Some of these fractures (hips fracture in particular) are time sensitive and literature supports this. In summary, if we have sets that are complete we can treat fractures here at the VA appropriately and in a timely manner. - Both of these reasons will increase the success of surgery and the recovery of the veteran patient. It appears that Depuy Synthes is the leader in the field of internal fixation. Stryker has wider product lines and internal fracture fixation sets with locking plate technology but not the same as that provided by Synthes. Synthes proprietary lock on the market is their COMBI-HOLE technology, which allows every hole in a plate to accept either a conventional bone screw, which compresses bone fragments together or a locking or compression screw which locks the plate to the bone. In that sense, Synthes combines the best of AO principles by merging locking screw technology with conventional plating techniques. Locking compression plates (LCP) is an important feature when bones are soft or in multiple fragments. The sets requested are general sets, that having them stocked and ready for the OR, will be of clinical benefit for hip fractures (DHS and cannulated 6.5/7.3 screw). The mini fragment set is used for many fractures both in the upper and lower extremity, it gives multiple options to treat general fractures we see at the VA (hand, finger, ankle, foot, etc.). Stocking the ankle trauma set again has clinical benefit as we see ankle fractures as part of our care of patients here at the VA (twisting injuries and even more complex pilon fractures we have treated since I have been here). If these sets are available and stocked we would not have to wait for approval to borrow sets from UAMS which we do frequently to treat fractures here at the VA. Some of these fractures (hips fracture in particular) are time sensitive and literature supports this. In summary, if we have sets that are complete we can treat fractures here at the VA appropriately and in a timely manner . Both of these reasons will increase the success of surgery and the recovery of the veteran patient Justification for Orthopedic Trauma mini fragment set and collinear clamp set. Both sets are from Synthes, both sets would allow areas of reduction and holding of fractures, with the collinear clamp being a self-holding clamp which would free up hands to complete the case. This would allow attending staff and/or resident staff freedom to place definitive fixation as the mini fragment screws and plates are used to hold provisional fixation. The collinear clamp comes in several sizes for easy of reduction in simple and complex long bone fractures such as the femur and the tibia. The differing sized plates, screws and reduction clamps also can be used for smaller bone reductions. This in turn would reduce the time and number of people needed to assist which decreases patient complications such as infection. DELIVERY REQUIREMENTS: Deliver to: Department of Veteran Affairs Deliver to Bldg 182 2200 Fort Roots Drive North Little Rock AR 72114