B
6.4
Assemble the construct
Use the Holding Forceps for Extension Bar to slide the se-
lected Extension Bar over the Caudal Rib Support.
Slide the Extension Bar onto the Cranial Rib Support. The
Iron for Extension Bar and Iron for Rib Support can be used
to align the two implants. The Positioner for Rib Support can
also help with alignment.
Place a golden Closure for Extension Bar in the cranial end of
the Extension Bar using the Inserter for Rib Support Lock.
With a hammer tap the Inserter to seat the lock. The Lock
Crimper or the lateral Lock Inserter have to be used to en-
sure that the Closure is fully seated.
Use the Rib Distraction Pliers, Distractor for Extension Bar or
the Spreader for Rib Support to distract the device until the
caudal hole in the Extension Bar is aligned with a hole in the
Caudal Rib Support. Both the Cranial and Caudal Rib Sup-
ports should be seated against the ribs.
Synthes
37
B
6.5
Lock the construct
Using the Inserter for Rib Support Lock place a golden Clo-
sure for Extension bar in the caudal end of the Extension Bar
to lock the assembly in place. check to ensure both locks are
fully seated using the Lock Crimper of Lock Inserter.
Note:
If the patient is older than 18 months and of adequate
body size, a second device (rib-to-rib construct) may be
added posterolaterally in the mid-axillary line to further ex-
pand the constricted hemitorax.
