Pelvic & Acetabular Fracture Treatment - Stryker

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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 surgeon should be knowledgeable of the precise anatomy of the fracture he is 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. 4
Rationale Matta Pelvic System The Matta Pelvic System is designed to address all fractures of the acetabulum and pelvis. The shape, material properties, plate malleability and hole spacing of the plates take into account today’s physician’s need for sufficient fatigue strength, optimized transfer of loading forces and a standardized operative technique with broad applicability. The current set also includes a variety of clamps and reduction External Fixation Hoffmann II External Fixation plays a definitive role in the treatment of unstable pelvic fractures using the device as provisional fixation. In contrast to internal fixation, this method has two major advantages: safety and simplicity. Apex Pin Fixation Solid pin fixation is essential for effective external fixation frames. The Apex Pin uses advanced thread geometry designed to yield outstanding cutting performance and optimal pin fixation. Asnis Screw Fixation Asnis III 6.5mm or 8.0mm cannulated screws can be utilized in surgical stabilization of sacroiliac joint disruption and/or sacral fractures using a minimally invasive HydroSet HydroSet injectable HA bone void substitute can be utilized in comminuted posterior wall fractures as an effective osteoconductive and osteointegrative material, as well as to help support pelvic bone fragments. 5 Matta – Page 7 Ex–Fix – Page 25 Asnis – Page 29 HydroSet – Page 30
Page 1 and 2: Pelvic & Acetabular Fracture Treatm
Page 3: Contents - Cont’d Page 14. Plate
Page 7 and 8: Features & Benefits Modular case de
Page 9 and 10: The Pelvic Ring and Acetabulum Pelv
Page 11 and 12: Pelvic Ring Fracture Types Pubis Sy
Page 13 and 14: Pelvic Ring Fracture Types Sacrum F
Page 15 and 16: Acetabular Fracture Types Anterior
Page 17 and 18: Acetabular Fracture Types Posterior
Page 19 and 20: Plate Bending The plate must be sha
Page 21 and 22: Screw Fixation Independent Interfra
Page 23 and 24: Matta Reduction Instruments Matta R
Page 25 and 26: Hoffmann II MRI - Pin Placement Tec
Page 27 and 28: Apex Pin Fixation Technical Details
Page 29 and 30: Asnis Asnis III Pelvic Screws 8.0mm
Page 31 and 32: HydroSet Ordering Information - MPS
Page 33 and 34: Ordering Information - MPS Screws 6
Page 35 and 36: Ordering Information - MPS Cases an
Page 37 and 38: Ordering Information - Hoffmann II
Page 39 and 40: Ordering Information - Apex Pelvic
Page 41 and 42: Ordering Information - HydroSet Inj
Page 43 and 44: Notes 43

Pelvic & Acetabular Fracture Treatment - Stryker

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