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Emergency Stabilization Instrument for Unstable
Injuries and Fractures of the Pelvic Ring

Pelvic C-Clamp II

Surgical Technique

Содержание Pelvic C-Clamp II

Страница 1: ...Emergency Stabilization Instrument for Unstable Injuries and Fractures of the Pelvic Ring Pelvic C Clamp II Surgical Technique...

Страница 2: ...vic C Clamp 13 Care and Maintenance 15 Implants 16 Instruments 17 Set List 18 Pelvic C Clamp II Surgical Technique DePuy Synthes 1 MR Information The Pelvic C Clamp II System has not been evaluated fo...

Страница 3: ...the shock reaction without delaying subsequent diagnosis and therapy The pelvic C clamp does not control arterial bleeding However by mechanical stabilization alone or enhanced by pelvic packing conc...

Страница 4: ...cases of sacral fractures or disruptions of the sacroiliac joint there is often concomitant blood loss from the fracture surface and from the veins of the presacral plexus The use of the pelvic C clam...

Страница 5: ...ns Avoid use where Fractures of the ilium are present as there is risk of pin perforation through the fracture line There are comminuted sacral fractures with the risk of compression of the sacral ner...

Страница 6: ...nteroposterior AP plain pelvic radiograph if necessary oblique views inlet and outlet or CT Patient positioning must allow for intraoperative fluoroscopic controls in AP inlet and outlet projections H...

Страница 7: ...s to prepare the pelvic C clamp for use Note Hold upper and lower arms with both hands and ensure that the lower arm is locked when fully extended Extend the upper bars by depressing the buttons on th...

Страница 8: ...ded tubes The buttons on the top of the pelvic C clamp can be locked Ensure the buttons are not locked when applying the pelvic C clamp to the patient or the side arms cannot be adjusted to apply comp...

Страница 9: ...vic C clamp must be placed at the level of the sacroiliac joints Palpation with a blunt instrument such as the K wire insertion handle allows easy identification of this site even with severe soft tis...

Страница 10: ...th the socket wrench with hammer This Kirschner wire will ensure exact placement of the cannulated nail and prevent the nail from slipping Note Malpositioned Kirschner wires can be removed with the pl...

Страница 11: ...the uninjured side slide the clamp with cannulated nails over the wire and ensure that the tip of the nail grips the bone securely Then place the second nail on the injured side no Kirschner wire is...

Страница 12: ...ve caps on each end of the two cannulated nails After complete application of the pelvic C clamp verify fixation with an image intensifier or x ray pelvic AP view and pad the nails Note The locking me...

Страница 13: ...nail insertion sites must be meticulously disinfected and dressed Should the patient need to be moved he she should on no account be placed on his her side as this could cause one of the nails to pen...

Страница 14: ...buttons as depicted by the red arrows 1 Disassembly of the Pelvic C Clamp 1 1 2 2 2 To remove the lower arms completely keep the buttons depressed 1 and slide the arms out 2 The threaded tubes can be...

Страница 15: ...g the top buttons 2 while pulling on the arms Be sure to hold the rails during this procedure to prevent the rails from falling Disassembly of the Pelvic C Clamp 3 3 2 The outer rails can be separated...

Страница 16: ...and the two holes located next to the side buttons and reassemble the device The pelvic C clamp should be checked after every use cleaning sterilization to confirm that all parts move freely as intend...

Страница 17: ...2 306 006 Short Cannulated Nail for Pelvic C Clamp II 02 306 007 Long Cannulated Nail for Pelvic C Clamp II 292 26 2 5 mm Kirschner Wire 285 mm trocar point 16 DePuy Synthes Pelvic C Clamp II Surgical...

Страница 18: ...le 321 20 Ratchet Wrench 11 mm width across flats 391 93 Wire Cutter 220 mm 398 32 Socket Wrench with Hammer 03 306 010 Pelvic C Clamp II shown with cannulated nails 03 306 011 8 mm Protective Cap Pel...

Страница 19: ...nch 11 mm width across flats 2 ea 391 93 Wire Cutter 220 mm 398 32 Socket Wrench with Hammer Also Available 359 204 Locking Pliers 519 97 Autoclavable Oil Note The Pelvic C Clamp II 03 306 010 consist...

Страница 20: ...er against defects in workmanship and materials Any other express or implied warranties including warranties of merchantability or fitness are hereby disclaimed Please also refer to the package insert...