Mandible FixBridge TG

Mandible FixBridge. For temporary
bridging of the mandible.
Technique Guide
Table of Contents
Introduction
Mandible FixBridge
2
Surgical Technique
Preoperative Planning
2
Surgical Technique
3
FixBridge Components
7
Instruments
8
Set List
9
Product Information
Synthes
The Mandible FixBridge
The Mandible FixBridge is indicated in mandible resection
cases where prepositioning of a reconstruction plate prior
to the resection is impossible due to the location, size and
extension of the tumor. The use of the temporary Mandible
FixBridge ensures the proper positioning of the remaining
bone segments postresection.
Preoperative planning
Preoperative planning is especially important during placement of the Mandible FixBridge to ensure that the appliance
does not interfere with plate placement.
Warning: This description is not sufficient for an immediate
application of the instrumentation. Instruction by an
experienced surgeon in handling this instrumentation is
highly recommended.
2
Synthes Mandible FixBridge Technique Guide
Surgical Technique
1
Mark the planned resection zone on the bone.
2
Place the Bone Plate. Use the appropriate Drill Bit for drilling
(the first hole may be drilled without the plate in place). If
necessary, measure depth now. Insert the chosen screw
(2.0 mm or 2.4 mm diameter) through the Bone Plate.
Repeat steps on the opposite side of the mandible.
Note: It is important to place the bone plates posterior
enough on the mandible to avoid interference with the
application of the fixation (reconstruction) plate.
3
Choose the appropriate length Vertical Post (30 mm or
50 mm) and fix one to each Bone Plate using the Vertical
Post Screws and Hexagonal Screwdriver.
Synthes
3
Surgical Technique
4
Place a Tube Clamp over each Vertical Post. Clamp screwheads
should face anteriorly. Pass the Vertical Post through the
Tube Clamp distal to the screwhead.
Important: When assembling the Tube Clamps, take care
that the screws pass through the unthreaded clamp first
and then into the threaded one. The latter must be positioned
so that the threaded part of the clamp finishes off the
construction.
5
Choose the correct length Extension Bow (50 mm or 70 mm)
and insert its ends through the remaining holes of the Tube
Clamps.
6
Adjust the position of the Extension Bow and tighten all
screws carefully, since they are fixing the original shape of
the mandible. Mandible FixBridge is now in its final position.
If the mounted Mandible FixBridge does not hinder the
resection, resect and go on to Step 11. Otherwise, continue
with Step 7.
4
Synthes Mandible FixBridge Technique Guide
7
Remove the two Vertical Post Screws.
8
Remove the assembled Mandible FixBridge from the
mandible as a unit (consisting of Extension Bow, Tube
Clamps, and Vertical Posts). Store Mandible FixBridge carefully
to avoid any distortion before it is reapplied after resection.
9
Perform the resection.
Synthes
5
Surgical Technique
10
Reapply Mandible FixBridge by inserting the Vertical Post
Screws into the Bone Plates. Take care to position FixBridge
accurately, without deviation. The bone stumps are now in
their original relationship to each other.
11
Select and contour the appropriate reconstruction plate and
secure it with the screws in the mandibular bone segments.
Once the reconstruction is complete, with the condylar position
confirmed and the plate in place, remove all components of
the FixBridge.
12
Resection is complete with definitive fixation in place.
Condylar position and occlusal relationship are indispensable
requirements for reconstructing the mandible. The use of the
FixBridge ensures that these relationships are maintained
throughout the resection.
6
Synthes Mandible FixBridge Technique Guide
FixBridge Components
386.72
Bone Plate, 2 holes
386.74
386.75
Vertical Post
30 mm
50 mm
386.76
Vertical Post Screw
386.79
Tube Clamp, complete
386.85
386.87
Extension Bows, complete
50 mm
70 mm
Synthes
7
Instruments
314.40
Hexagonal Screwdriver
314.67
1.5 mm/2.0 mm Cruciform Screwdriver
Blade with Holding Sleeve, short
and
311.03
Handle with mini quick coupling, small
317.835
1.5 mm Drill Bit, 110 mm, Stryker J-latch
8
Synthes Mandible FixBridge Technique Guide
Mandible FixBridge Set (102.65)
Graphic Cases
301.70
Aluminum Case
302.65
Mandible FixBridge Rack
302.70
Instrument Tray
Instruments
311.03
Handle with mini quick coupling, small
312.22
2.0 mm/1.5 mm Double Drill Sleeve
314.40
Hexagonal Screwdriver
314.67
1.5 mm/2.0 mm Cruciform Screwdriver
Blade with Holding Sleeve, short
317.435
1.5 mm Drill Bit, 60 mm stop, 85 mm,
Stryker J-Latch, 2 ea.
319.52
Depth Gauge for 1.5 mm to 2.0 mm
screws
FixBridge Components
386.72
Bone Plate, 2 holes, 2 ea.
Vertical Posts, 2 ea.
386.74
30 mm
386.75
50 mm
386.76
Vertical Post Screw, 2 ea.
386.79
Tube Clamp, complete, 2 ea.
Extension Bows, complete
386.85
50 mm
386.87
70 mm
201.808.98–
2.0 mm Cortex Screws, self-tapping
201.814.98
5 ea.: 8 mm, 10 mm, 12 mm, and 14 mm
Also Available
317.832
1.5 mm Drill Bit, 110 mm,
Universal / Hall coupling
317.835
1.5 mm Drill Bit, 110 mm, Stryker J-latch
317.838
1.5 mm Drill Bit, 110 mm,
mini quick coupling
311.21.98
Tap for 2.0 mm Cortex Screws
100 mm / 38 mm tapping depth (for use
only with cortex screws)
401.158–
401.164
2.0 mm Titanium Cortex Screws, 8 mm,
10 mm, 12 mm, and 14 mm, 5/pkg.
401.044–
401.047
2.0 Titanium Cortex Screws, coarse pitch,
self-tapping, with PlusDrive recess, 8 mm,
10 mm, 12 mm and 14 mm, 5 / pkg.
04.503.408.05– 2.0 mm Titanium MatrixMandible Screws,
04.503.414.05 self-tapping, 8 mm, 10 mm, 12 mm, and
14 mm, 5 / pkg.
Note: For additional information, please refer to package insert.
For detailed cleaning and sterilization instructions, please refer to
http://us.synthes.com/Medical+Community/Cleaning+and+Sterilization.htm
or to the below listed inserts, which will be included in the shipping container:
– Processing Synthes Reusable Medical Devices — Instruments, Instrument Trays
and Graphic Cases — DJ1305
– Processing Non-sterile Synthes Implants — DJ1304
Synthes
9
Synthes CMF
1302 Wrights Lane East
West Chester, PA 19380
Telephone: (610) 719-5000
To order: (800) 523-0322
Fax: (610) 251-9056
© 1996 Synthes, Inc. or its affiliates. All rights reserved.
Synthes (Canada) Ltd.
2566 Meadowpine Boulevard
Mississauga, Ontario L5N 6P9
Telephone: (905) 567-0440
To order: (800) 668-1119
Fax: (905) 567-3185
PlusDrive and Synthes are trademarks of Synthes, Inc. or its affiliates.
www.synthes.com
Printed in U.S.A. 8/10 J3146-C