B
6.1
Choose the appropriate caudal rib
The proper rib for attachment of the rib-to-rib device should
be transverse and of adequate width. Do not choose an
oblique rib, such as rib 11 or 12.
B
6.2
Select the appropriate Caudal Rib Support
Caudal Rib Support sizes correspond with the same size Ex-
tension Bar. For example, if the selected Extension Bar is
a size 7, the correct Caudal Rib Support will also be a size 7.
Primary Procedure
B Rib-to-rib
B
6.3
Insert the caudal implants
Using the Holding Forceps for Rib Support seat the Caudal
Rib Support into the space between the periosteum and the
rib. Rotate it into the correct position around the rib.
Based on the patient’s anatomy, select the appropriate Clos-
ing Half-Ring (standard or large).
Using the Holding Forceps for Closing Half-Ring, seat the
Closing Half-Ring over the contralateral side of the rib.
Align the Caudal Rib Support and Closing Half-Ring using
the Pliers for Closing Half-Ring and Rib Support. Load a blue
Lock for Rib Support into the Inserter for Rib Support Lock.
Insert the lock into the aligned holes of the Caudal Rib Sup-
port and the Closing Half-Ring. With a hammer tap Inserter
to seat the lock. Check to ensure the lock is fully seated usig
the Lock Crimper or the lateral Lock Inserter. The implants
now encircle the rib.
Note:
A 220 mm Extension Bar requires the use of a
220 mm Caudal Rib Support. A 70 mm Extension Bar
requires the use of a 70 mm Caudal Rib Support.
36
Synthes
VEPTR
Technique Guide
