Pelvic & Acetabular Fracture Treatment Solutions - Stryker

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Contents - Continued Page 10. Matta Pelvic System – Plate Bending 21 11. Matta Pelvic System – Screw Fixation 23 12. Matta Pelvic System –Reduction Instruments 25 13. External Fixation Pelvic Frame 28 Hoffmann II MRI 28 Apex Pins 28 14. Hoffmann II MRI-Pin Placement Techniques 29 15. Hoffmann Xpress Immediate Care 30 Features and Benefits 30 16. Apex Pin Fixation 31 Technical Details – Self-Drilling/Self-Tapping Apex Pin 31 17. Asnis III Screw Fixation 32 Features and Benefits 32 19. Acetabular Articular Fragments Augmentation with HydroSet 33 Features and Benefits 33 Ordering Information – MPS Plates 34 Ordering Information – MPS Screws 35 Ordering Information – MPS Instruments 37 Ordering Information – MPS Cases and Trays 39 Ordering Information – Hoffmann II MRI Components 40 Ordering Information – Hoffmann II MRI Instruments 41 Ordering Information – Hoffmann Xpress 42 Ordering Information – Apex Pelvic Pins 43 Ordering Information – Apex Instruments 44 Ordering Information – Asnis III Screws 46 Ordering Information – HydroSet Injectable HA Bone Substitute 49 4
Introduction “The perfect restoration of the articular surface and associated osseous architecture” was the goal set forth by R. Judet and E. Letournel in their surgical treatment of fractures of the pelvis and the acetabulum. However, before surgical intervention in a fractured acetabulum can be accepted as a means of treatment, accurate diagnosis based on radiology is essential. As in other conditions, classification also aids in the accurate understanding of these sometimes complex fractures. No one surgical approach is applicable for all acetabulum fractures. After examination of the plain films as well as the CT scan the surgeons should be knowledgeable of the precise anatomy of the fracture they are dealing with. A surgical approach is selected with the expectation that the entire reduction and fixation can be performed through the surgical approach. The Letournel classification was first published in 1961. Apart from some minor early modifications, it has since remained unchanged and is now the most widely used classification system for acetabular fractures. This classification proposes the division of the various fracture types into two large groups: Elementary Fractures comprise those in which a part or all of one or both columns supporting the acetabulum has been detached by a single fracture line. The five elementary fracture types are: - Fracture of the posterior wall - Fracture of the posterior column - Fracture of the anterior wall - Fracture of the anterior column - Transverse fracture Associated Fractures comprise those in which two or more elementary patterns are combined. The five associated fracture types are: - T-shaped fracture - Posterior column and posterior wall fracture - Transverse and posterior wall fractures - Anterior column or anterior wall with posterior hemi-transverse fracture - Both-column fracture Judet and Letournel concluded early on the most important factor in a successful operation was a thorough pre-operative three-dimensional understanding of the X-Rays and fracture pattern. The same is true today. The surgeon’s knowledge, skill and dedication remain the primary determinants of the patient’s outcome, and the Stryker Pelvic & Acetabular Fracture Treatment Solutions seek to facilitate this. 5
Page 1 and 2: Pelvis Pelvic & Acetabular Fracture
Page 3: Contents Page 1. Introduction 5 2.
Page 7 and 8: Precautions & Contraindications for
Page 9 and 10: Indications, Features & Benefits fo
Page 11 and 12: The Pelvic Ring and Acetabulum - Fr
Page 13 and 14: Pelvic Ring Fracture Types & Fixati
Page 15 and 16: Pelvic Ring Fracture Types & Fixati
Page 17 and 18: Acetabular Fracture Types & Fixatio
Page 19 and 20: Acetabular Fracture Types & Fixatio
Page 21 and 22: Matta Pelvic System - Plate Bending
Page 23 and 24: Matta Pelvic System - Screw Fixatio
Page 25 and 26: Matta Pelvic System - Reduction Ins
Page 27 and 28: Matta Pelvic System - Reduction Ins
Page 29 and 30: Hoffmann II MRI - Pin Placement Tec
Page 31 and 32: Apex Pin Fixation Technical Details
Page 33 and 34: Acetabular Articular Fragments Augm
Page 35 and 36: Ordering Information - MPS Screws 3
Page 37 and 38: Ordering Information - MPS Instrume
Page 39 and 40: Ordering Information - MPS Cases an
Page 41 and 42: Ordering Information - Hoffmann II
Page 43 and 44: Ordering Information - Apex Pelvic
Page 45 and 46: Ordering Information - Apex Instrum
Page 47 and 48: Ordering Information - Asnis III Sc
Page 49 and 50: Ordering Information - HydroSet Inj
Page 51 and 52: Notes 51

Pelvic & Acetabular Fracture Treatment Solutions - Stryker

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