Synthes Hybrid Fixator Proximal Tibia Frame Technique Manual Download Page 4

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Recommended Components for Hybrid Fixator

Synthes

Hybrid Fixator—Proximal Tibia Frame Technique Guide

Product

Item

Quantity

Number

Needed

390.005*

Large Combination Clamp

393.464

Adjustable Wire/Pin Clamp

393.436

Ring-to-Rod Clamp

294.785*

5.0 mm Self-Drilling

Schanz Screw, 175 mm

292.38 –

Spade-Point Reduction Wire

292.41

(or Spade-Point Wire)

Notes:

Additional components are required for optional

frame configurations.

Additionally available lengths of stainless steel self-drilling
Schanz screws, stainless steel non–self-drilling Schanz screws
and titanium self-drilling Schanz screws may also be used.

* Although some components are MR Conditional, the

standard hybrid frame is

not

safe to be utilized in an

MR environment.

Summary of Contents for Hybrid Fixator Proximal Tibia Frame

Page 1: ...Hybrid Fixator Proximal Tibia Frame Using rings with clamps Technique Guide Part of the External Fixation System ...

Page 2: ...hten wire locking nuts B and remove tensioner To obtain maximum wire tension it is recommended after tensioning the second wire to retension both wires in the same sequence to obtain the best frame stability An alternative method would be to use two tensioners simultaneously 6 Insert Schanz screw into proximal fragment Insert through wire pin clamp Note A third wire can be inserted if the fracture...

Page 3: ...clamp 10 Reduce extra articular component of fracture Use ring and anterior rod as handles to manipulate fracture Tighten ring to rod clamp 11 Add second rod Connect ring to rod clamp and large combination clamp Add carbon fiber rod Note Operating instructions for the Wire Tensioner 393 742 can be found in Wire Tensioners for Hybrid Fixator Synthes 10 Synthes ...

Page 4: ...ng 3 Schanz Screw 175 mm 292 38 Spade Point Reduction Wire 2 292 41 or Spade Point Wire Notes Additional components are required for optional frame configurations Additionally available lengths of stainless steel self drilling Schanz screws stainless steel non self drilling Schanz screws and titanium self drilling Schanz screws may also be used Although some components are MR Conditional the stand...

Page 5: ... 11 0 mm Carbon Fiber Rod 2 393 7xx 3 4 Ring size chosen should 1 allow two finger breadths of soft tissue clearance 394 97 Protective Cap for 11 0 mm rods 4 394 99x Protective Cap for Fixation Pins 3 392 18 Protective Cap for 1 8 mm and 4 2 0 mm wires ...

Page 6: ...h illustrates alternative wire placement Generally wires should be placed distal to cannulated screws A C B Figure 1 Typical wire positions with insertion sequence as noted on diagram A Posterolateral to anteromedial tibia B Posteromedial to anterolateral tibia C Optional third wire lateral to medial 1 F J Kummer Biomechanics of the Ilizarov External Fixator Clinical Orthopaedics and Related Resea...

Page 7: ...e To accommodate pins placed in differing planes modular frame technique using more than one carbon fiber rod can be used in place of the anterior frame See the Basic Modular Frame Technique Guide A second carbon fiber rod must be placed either laterally or medially for optimal stability If desired a third rod can be added on the opposite side Preoperative planning of clamp and ring placement shou...

Page 8: ...ame Technique Guide 1 Hold clamp in hand as with a syringe 2 Pull vise plates apart with thumb and fingers 3 Hook top vise plate over ring and release The wire pin connection provides up to 15 mm of excursion for versatile wire or pin placement 15 mm Clamp locking nut Wire locking nut ...

Page 9: ...Staggers K Aurori B Aurori and F F Behrens Bicondylar Tibial Plateau Fractures Treated with a Hybrid Ring External Fixator a Preliminary Study Journal of Orthopaedic Trauma 1994 8 6 455 461 Weiner L M Kelley E Yang J Steuer N Watnick M Evans and M Bergman The Use of Combination Internal Fixation and Hybrid External Fixation in Severe Proximal Tibia Fractures Journal of Orthopaedic Trauma 1995 9 3 ...

Page 10: ...res and pins up to 5 0 mm 394 182 3 5 mm Trocar 118 mm long 395 913 5 0 mm 3 5 mm Drill Sleeve 107 mm long Fixation Material 390 005 Large Combination Clamp 6 ea 392 18 Protective Caps for 1 8 mm and 2 0 wires 1 pkg of 10 393 436 Ring to Rod Clamp 4 ea 393 464 Adjustable Wire Pin Clamp 10 ea 393 722 3 4 Ring 205 mm ID 393 732 3 4 Ring 115 mm ID 393 734 3 4 Ring 140 mm ID 2 ea 393 736 3 4 Ring 165 ...

Page 11: ...8 5 0 mm 100 mm 250 mm 294 792 798 6 0 mm 100 mm 250 mm Titanium Self Drilling Schanz Screws 494 774 779 4 0 mm 60 mm 175 mm 494 782 788 5 0 mm 100 mm 250 mm 494 792 798 6 0 mm 100 mm 250 mm Instruments Drive Adaptors with quick coupling 393 101 For 4 0 mm Schanz Screws 393 102 For 4 5 mm Schanz Screws 393 104 For 6 0 mm Schanz Screws 393 105 Small Universal Chuck with T Handle Fixation Material 3...

Page 12: ...x 610 251 9056 Synthes Canada Ltd 2566 Meadowpine Boulevard Mississauga Ontario L5N 6P9 Telephone 905 567 0440 To order 800 668 1119 Fax 905 567 3185 2001 Synthes Inc or its affiliates All rights reserved Synthes is a trademark of Synthes Inc or its affiliates Printed in U S A 1 11 J3419 F www synthes com ...

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