Universal Small Fragment System

The Universal Small Fragment System is a streamlined system of instruments, coupled with standard and anatomic implants to support small fragment procedures.

The system consists of:

  • a core set of instruments, screws, and standard implants
  • anatomic implant trays for the supported small fragment anatomy
Universal Small Fragment System

Features & Benefits

Ease of Use

Ease of Use

  • Universal Small Fragment, USF, streamlines instruments and implants into a compact, modular system that can be used for all Small Fragment cases
  • Surgeons assessing the system believe it will improve consistency and repeatability of operating room support across all small bone trauma9
Improved Efficiency

Improved Efficiency

  • Retrieving fewer sets may mean a faster setup of operating room for trauma4-6
  • Staff proficient in core set may become faster using the same system across all small fragment procedures7,8
  • In-tray washing may eliminate need to reassemble trays after washing
Cost Savings

Cost Savings

USF reduces the number of trays brought into the operating room by 50% and reduces the footprint needed for washing that may deliver demonstrable savings to the hospital2,3

Product Resources


Supporting Documentation



1. Use of “fewer sets” and “with less” used throughout document uses a comparison of existing comparable DePuy Synthes systems as benchmark. 
2. Cost savings calculation and percentage tray reduction considers trays washed when using DePuy Synthes plating systems commonly used for Shoulder, Clavicle, Elbow, Proximal Tibia, Distal Tibia and Distal Fibula anatomies, an average cost to wash per tray of $47.72, assumes 5 trays washed per set and average of 2.25 sets per procedure, total affected case volume of 260 cases per year at a facility. 
3. DePuy Synthes Internal Sales Data 2018.
4. Ford, S. “Nurses waste ‘an hour a shift’ finding equipment,” Nursing Times. 105(5):1, 2009 February. 
5. Richardson, D et al., “Using Lean Methodology to Decrease Wasted RN Time in Seeking Supplies in Emergency Departments,“ Journal of Nursing Administration. 44(11):606-611, November 2014. 
6. Delatore P, Bourque M, Taylor J, Ferko N. “The value of SKU reduction and standardization initiatives within a hospital system.” Value in Health - ISPOR 21st Annual International Meeting. 2016. PHP206. 
7. Adrianzen, D. 2014. “Implementing Lean Process Improvement in the Sterile Processing Department at the Academic Medical Center.” Worcester, MA: Worcester Polytechnic Institute. 
8. Chobin, N. “The Real Costs of Surgical Instrument Training in Sterile Processing Revisited,” AORN J. 2010 Aug;92(2):185-93.
9. Statement based on responses from surgeons after using system final design in cadaveric lab setting from June through July 2018.

Indication Statement


The Universal Small Fragment System assists the surgeon in the fixation of implants for small fragment fractures where 2.7 mm/3.5 mm non-locking, LCP, and VA LCP plating technology is utilised. It is not intended for use in craniomaxillofacial and spine. For specific indications or surgical technique of specific 2.7 mm/3.5 mm plating technology, refer to the desired anatomic plate surgical technique guide.

For product details such as indications, contraindications, warnings and precautions please consult the IFU and Surgical Technique.