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Precontoured plates Minimally invasive Stable fixation
There are several potential benefits of surgical stabilization of rib fractures. better clearance of secretions through efficient cough.MatrixRIB.3. fusions and osteotomies of normal and osteoporotic bone.4 Right plates Locking holes In-plane radius R3 R4-5 R6-7 Longitudinal twist R8-9 Features – Designed to be used without removing periosteum. to maximize blood supply to the bone – All implants are manufactured from titanium alloy* for flexibility and strength – Drill bit with stop to prevent over-drilling – Self-retaining screwdriver blades Locking screws – Screws work with self-retaining screwdriver blades to reduce camout – Locking design for stable construct – One screw diameter for use with all plates and splints * Ti-6Al-7Nb . minimized chest wall deformities resulting from trauma and shorter back to work time. shortened ICU stays. These include reduced mortality and increased cost effectiveness due to a reduced duration of mechanical ventilation support. Although some rib fractures are treated with pain management and bracing. improved pain control.1. Patients could also benefit from preserved pulmonary function. locking screws. and less complications. some patients could benefit from surgical stabilization (osteosynthesis). and intramedullary splints for the fixation and stabilization of ribs. Introduction The Synthes MatrixRIB Fixation System consists of precontoured locking plates. as well as endotracheal intubation and mechanical ventilation if necessary. Stable fixation of normal and osteoporotic ribs.2. Indications The Synthes MatrixRIB Fixation System is indicated for the fixation and stabilization of rib fractures.
496-501 4 Tanaka H. 2005. 1995.. et al. Mohyuddin Z. 1310-7 . which minimizes intraoperative bending5 – Locking plate construct provides stable fixation – Low-profile 1. et al.Locking plates – Plates are precontoured to fit an average rib shape..5 mm thick plates – Plates are color-coded to distinguish left and right designs – Plates are etched on medial end to indicate the corresponding rib – A universal plate with 8 holes is available Left plates L3 Etching Out of plane radius L4-5 L6-7 Tubular radius L8-9 Intramedullary splints – Intramedullary splints allow minimally invasive procedures – Three widths available (3 mm. 5 mm) – Only one screw needed to secure splint 1 2 Ahmed Z. 181-6 3 Lardinois D. 727-32 5 Mohr M. et al. 2007.. 2001.. 1676-80 Engel C. 4 mm. et al. 2002.
** Rehm KE. Synthes Test report number MT08-481 and MT08-161.000. Die Osteosynthese der Thoraxwandinstabilitaeten. Biomechanical testing* The Synthes MatrixRIB Fixation System was tested in a cadaveric model to withstand five times higher than normal in-vivo loads** for a duration representative of more than 2 weeks of fracture healing (360. Stable fixation of normal and osteoporotic ribs. Furthermore. *** The estimate for the amount of cycles representative of fracture healing is based on 14.MatrixRIB. Overview of cadaveric bone testing model .000 cycles respiratory Step 3 Plate and splint constructs loaded statically to failure to determine residual construct strength * Mechanical test results are not necessarily indicative of clinical performance. Hefte zur Unfallheilkunde 1986.000 cycles)***. a second group of plates were mounted on plastic test blocks and subjected to 15 times higher than normal in-vivo loads** for a duration representative of more than 6 weeks of fracture healing (1. Plate and splint construct testing on cadaveric rib model Step 1 Static load-to-failure of native ribs to produce realistic fracture patterns Step 2 Plate and splint constructs subjected to 5 loading (200 Nmm) for 360.000 cycles)***.1 breaths per minute.175.
0 3.5 0 Osteoporotic Rib Plate Construct Figure 1 – All plate and splint constructs survived exaggerated dynamic loading (bending loads 5 times greater than respiration for 360. Hefte zur Unfallheilkunde 1986. (Figure 2) – Splint construct provided stable fixation during the dynamic loading with no observed implant migration.000 cycles).0 0.000.0 1.000 cycles) in a cadaveric model without construct failure. Die Osteosynthese der Thoraxwandinstabilitaeten. 11000 Failure Bending Moment (Nmm) 10703 10500 10000 1000 500 0 933 769 40 Nmm Plate Construct Splint Construct Osteoporotic Rib Normal Respiratory Load Figure 2 Bench testing on plastic blocks* – Plates survived bending loads approximately 15 greater than respiratory loading (600 Nmm) for 1.Cadaveric rib plate and splint testing summary* Stiffness (N/mm) 4.5 2. Bending load Bending load * Mechanical test results are not necessarily indicative of clinical performance. Illustration of test construct for bench testing on plastic blocks .5 – Bending stiffness of plate testing constructs was comparable to unfractured cadaveric osteoporotic rib (Figure 1). Synthes Test report number MT08-481 and MT08-161.000 cycles (more than 6 weeks of fracture healing**).0 2. – Plate and splint constructs retained sufficient strength after dynamic loading to support loads greater than respiration at an exaggerated level (Dynamic loading at 200 Nmm for 360.5 1.175. ** Rehm KE. 3.
501.501.501. medium Calliper Mallet Quantity 1 1 1 1 2 03.501.072 03.036 Depth Gauge MatrixRIB Plate Holding Forceps.501.070 MatrixRIB Intramedullary Splint Driver MatrixRIB Drill Guide 2.2 mm with Stop. length 135/8 mm.501.2 for Plates MatrixRIB Drill Bit 2.040 2 03.106 304. 2-flute.5 mm with 2 Stop.501.023 2 329.066 03. 03. for J-Latch Coupling MatrixRIB Plate Holding Forceps. 03. large.501.5 for Intramedullary Splint Insertion MatrixRIB Drill Bit 5.108 304.033 03. with Hexagonal Coupling Bending Pliers with Nose Cutting Pliers for Plates and Rods Reduction Forceps with Points. for J-Latch Coupling MatrixRIB Drill Bit 2. length 135/10 mm.031 03.501.071 2 03.501.001 Graphic Case.062 MatrixRIB Template for Intramedullary Splint.501. for J-Latch Coupling MatrixRIB Drill Bit 2.032 03. with Lid. 2-flute. small MatrixRIB Template for Intramedullary Splint. small MatrixRIB Bending Template for Rib Plates Screwdriver Shaft MatrixMANDIBLE. long.110 304. for MatrixRIB Fixation System Length Marker.990 1 398. small.501.112 304.501. length 135/14 mm.2 mm with Stop. for J-Latch Coupling MatrixRIB Drill Guide 5.065 1 2 2 03. black 304. self-holding.400 03. 2-flute. 2-flute.142 391.055 .038 03. with ball tip MatrixRIB Plate Holding Forceps.042 2 1 1 2 03. No. ratchet lock.501. for J-Latch Coupling MatrixRIB Drill Bit 2.001) Graphic Case 60.071 2 03.501.503. No. with ball tip Quantity 1 2 Art. self-holding. 2-flute. length 125 mm.114 Type 6 Type 8 Type 10 Type 12 Type 14 Art.501.001 03. medium.501.061 03. for J-Latch Coupling MatrixRIB Drill Bit 2. length 132 mm 2 2 2 03.501.501.MatrixRIB Fixation System Set (01.2 mm with Stop.2 mm with Stop.501.2 mm with Stop. length 135/6 mm. length 135/12 mm.503. narrow.030 03.044 03.072 2 311. 2-flute. for Hexagonal Coupling Ratcheting Screwdriver Handle. for Hexagonal Coupling Screwdriver Shaft MatrixMANDIBLE.
005 10 04. right. Titanium Alloy (TAN)* Quantity 2 Art.501. right. Titanium Alloy (TAN)** MatrixRIB LOCK Screw 2. length 8 mm. Titanium Alloy (TAN)** 04. Titanium Alloy (TAN)** 6 15 04. for Ribs No.009 04. 04. add suffix . left. 4 and 5.007 MatrixRIB NON-LOCK Screw 10 2.9 mm. 3. width 5 mm.018 2 04.024 2 04. left.501. No. Titanium Alloy (TAN)* 6 * For sterile plates and splints add suffix S ** For screws in a pack of 5.9 mm.016 Quantity MatrixRIB Intramedullary Splint. self-tapping. 18 holes. Titanium Alloy (TAN)** MatrixRIB LOCK Screw 2. length 14 mm.01S . 18 holes.004 15 04. add suffix . left.501. width 4 mm.501. 15 holes. No. Titanium Alloy (TAN)* MatrixRIB Precontoured Plate. right. Titanium Alloy (TAN)* MatrixRIB Precontoured Plate. for Rib No. right.9 mm. 6 and 7. medium.036 2 35 04. self-tapping.022 2 04.011 4 MatrixRIB Intramedullary Splint.501.501. Titanium Alloy (TAN)* 35 04.501.9 mm. 16 holes. 6 small. Titanium Alloy (TAN)* MatrixRIB Precontoured Plate.501.05.002 2 04. length 10 mm. for Ribs No.501. self-tapping.9 mm. length 12 mm.501.501. 8 and 9. self-holding 1 04. left.073 MatrixMANDIBLE Screwdriver.006 04.003 MatrixRIB Precontoured Plate.Art.012 04. self-tapping. for sterile screws.001 MatrixRIB Precontoured Plate.501. for Ribs No. length 6 mm. 16 holes.020 2 04. 17 holes. 3. self-tapping.501. length 6 mm. 6 and 7. 17 holes. 04. 8 and 9. for Ribs No. 8 holes. Titanium Alloy (TAN)* MatrixRIB Intramedullary Splint. Titanium Alloy (TAN)* MatrixRIB Precontoured Plate.501. 15 holes. Titanium Alloy (TAN)** MatrixRIB LOCK Screw 2.010 04. Titanium Alloy (TAN)* MatrixRIB Precontoured Plate.501. self-tapping. large. for Ribs No.503. 4 and 5. Titanium Alloy (TAN)** MatrixRIB LOCK Screw 2.9 mm.501. for Ribs No. Titanium Alloy (TAN)* MatrixRIB Precontoured Plate.501. for Rib No. Titanium Alloy (TAN)* MatrixRIB LOCK Screw 2.501. width 3 mm.008 2 Also available 03. Titanium Alloy (TAN)* MatrixRIB Universal Plate.
discussion 32 Ö036.110(6):1676-80 Engel C. Engel C. Bottlang M: “Geometry of Human Ribs Pertinent to Orthopaedic Chest-Wall Reconstruction. or its affiliates .com/lit 0123 036. or its affiliates All rights reserved Synthes is a trademark of Synthes. Bottlang M: ”Operative chest wall fixation with osteosynthesis plates.40(6):1310-7 Tanaka H.” Eur J Cardiothorac Surg.279öAAkä Synthes GmbH Eimattstrasse 3 CH-4436 Oberdorf www. Yamaguti Y. 2005 Jan. Shimazaki S: “Surgical stabilization of internalpneumatic stabilization. Yukioka T. Abrams E. Long WB. A prospective randomized study of management of severe flail chest patients. Matsuda H. 1995 Dec.synthes.” J Trauma. Ghisleta N. Dusmet M.” J Biomech. Madey SM. 2002. Goto H.58(1):181-6 Lardinois D. Inc.52(4):727-32. 20(3): 496-501. Krieg JC. Inc. Ris H: “Pulmonary function testing after operative stabilization of the chest wall for flail chest.279 SE_215945 AA 60090008 © 04/2009 Synthes. Krueger T. Bibliography Ahmed Z. Mohyuddin Z: “Management of flail chest injury: internal fixation versus endotracheal intubation and ventilation.” J Trauma. Long WB.MatrixRIB. 2007.000.synthes.000. 2001 Mohr M. Stable fixation of normal and osteoporotic ribs. Gugger M.” J Thorac Cardiovasc Surg. Shimizu S.com All technique guides are available as PDF files at www.
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