mini fix titanium external fixator
TRANSCRIPT
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MINI FIX Titanium External FixatorFor Mandibula & Hand
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2 JMF (T) Group Co.,Ltd. - Email: info@jm f -group.com - Web: www.jm f -group.com roup o., . - ma : n o m -group.com - e : www. m -group.com
Titanium Mini Fixator Set
14-1000 MANDIBULA AND FINGER FIXATOR SET
Set contents :
14-1001 MINI FIXATOR NO. I 1
14-1002 MINI FIXATOR NO. II 1
14-1003 MINI FIXATOR NO. III 1
14-1004 MINI FIXATOR, THREADED ROD, 40 MM 1
14-1005 MINI FIXATOR, THREADED ROD, 50MM 1
14-1006 MINI FIXATOR, THREADED ROD 60MM 1
14-1007 MINI FIXATOR, FIXATION SCREW 20
14-1008 MINI FIXATOR SCREW DRIVER 1
14-1009 MINI FIXATOR HOLDING LEVER SMALL 1
14-1010 MINI FIXATOR HOLDING LEVER WIDE 1
14-1011 MINI FIXATOR HOLDING FORCEPS 1
KIRSCHNER WIRE DIA. 1.6MM, LENGTH 70MM, THREAD 15MM 10
KIRSCHNER WIRE DIA. 1.8MM, LENGTH 70MM, THREAD 15MM 10
14-1012 HEXAGONAL ALLEN KEY 1.5MM 1
14-1013 HEXAGONAL ALLEN KEY 4.0MM 1
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3JMF (T) Group Co.,Ltd. - Email: info@jm f -group.com - Web: www.jm f -group.com ., . - - . - . - .
Titanium Mini Fixators
14-1001 MINI FIXATOR NO. I
14-1002 MINI FIXATOR NO. II
14-1003 MINI FIXATOR NO. III
14-1004 MINI FIXATOR, THREADED ROD, 40 MM
14-1005 MINI FIXATOR, THREADED ROD, 50 MM
14-1006 MINI FIXATOR, THREADED ROD, 60 MM
KIRSCHNER WIRE DIA. 1.6MM, LENGTH70MM, THREAD 15MM
KIRSCHNER WIRE DIA. 1.8MM, LENGTH70MM, THREAD 15MM
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14-1011 MINI FIXATOR HOLDING FORCEPS
14-1007 MINI FIXATOR SCREW DRIVER
14-1009 MINI FIXATOR HOLDING LEVER SMALL
14-1010 MINI FIXATOR HOLDING LEVER WIDE
14-1012 HEXAGONAL ALLEN KEY 1.5MM
14-1013 HEXAGONAL ALLEN KEY 4.0MM
Titanium Mini Fixator Instruments
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5JMF (T) Group Co.,Ltd. - Email: info@jm f -group.com - Web: www.jm f -group.com ., . - - . - . - .
MINI FIXATOR SURGICAL TECHNIQUE AND PRODUCT DESCRIPTION
Descrip t onThe MINI FIX Hand Fixator consists of two or more t tanium blocks for the xat on of the threaded Pins. The glidingblocks are adjusted to the desired length on a threaded rod. MINI FIX I and II also permit secondary distrac t on orcompression. Joint mo t on tan be excluded permi ed. MINI FIX Ill is slim enough to interdigital applica t on, wherebyt ssue protec t on is guaranteed by its smooth design.
Preopera t ve PlaningFor op t mal xat on, careful preopera t ve planning is essen t al. Hereby injuries of the nerves and the vessels have tobe avoided. Where joints are mobilized, lateral posi t oning of the xator is necessary. If bone gra f ing is applicated,
all necessary measures should be implemented in advance. The Pa t ent must be informed of treatment demandsand poten t al complica t ons. An image intensi er is usually necessary to assure correct applica t on. Certain fracturePa erns require addi t onal xat on with screws, a tension band or a K-wire.
Indica t ons (examples)- Fractures of the sha f , simple or comminuted- Intraar t cular fractures- Compound fractures- Trauma or tumor - related bone defects of the carpus, metacarpus or phalanges- Arthrodesis- Distrac t on osteogenesis (i.e. lenthening of the thumb)- Metacarpal Segment transport- Callotaxis lengthening of the capitate a f er resec t on of the lunate bone (for treatment of Kienbock3 disease, StageIII- Fractures of the mandibula
Titanium Mini Fixator Technique
1. Fixator descrip t on
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Titanium Mini Fixator Technique
2. Fixator assembly
3. Fracture of the mandibula
Applica t on of MINI FIX xator at the lower mandibular rim. Preserva t on of the mandibular nerve is essen t al.
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Titanium Mini Fixator Technique
4. Using the holding lever
The Fixa t on screws are secured by means of holding levers- wide opening lever for MINI FIX I and II- small opening lever for MINI FIX III
5. D3 Fracture of the base of the middle phalanx
Dorso - lateral applica t on of MINI FIXD4, Comminuted fracture of proximal phalanx, dorso - lateral transar t cular MINIFIX III. The Threaded pins should be placed beside the proximal extensor tendon
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Titanium Mini Fixator Technique
6. Comminuted intraar t cular fracture of the head of the proximal phalanxinterdigital transar t cular applica t on of MINI FIX
7. Defect of the IIIrd metacarpal boneCancellous bone gra f , compression osteosynthesis with a dorsally applied MINI FIX
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9JMF (T) Group Co.,Ltd. - Email: info@jm f -group.com - Web: www.jm f -group.com ., . - - . - . - .
Titanium Mini Fixator Technique
8. ArthrodesisCompression arthrodesis in the PIP - joint using MINI FIX
9. Distrac t on osteogenesis following amputa t on of the thumbOsteothomy in the rst metacorpusBilateral applica t on of MINI FIX II. Distrac t on should begin on the 10th day (1 mm 7 day)
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Titanium Mini Fixator Technique
10.Distrac t on of Capitate
Following resec t on of the lunate due malacia Stage Ill , osteotomy of the capitate isperformed together with temporary xat on of the scaphulo - capitate and scaphulo -trapecoid joint. Distrac t on should begin on the 10th day (1 mm / day)
11. Ac t ve or passive mo t onLateral posi t oning and central loosening of the joint xat on screws permit ac t ve or passivemo t on therapy. The axis of mo t on of the xator should be parallel to the joint axis. Thedegree of healing should be suited for mobiliza t on
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11JMF (T) Group Co.,Ltd. - Email: info@jm f -group.com - Web: www.jm f -group.com ., . - - . - . - .
Titanium Mini Fixator Technique
Postopera t ve Care
The majority of injuries tan be stabilized an an ambulatory se ng. Postopera t vely wound are covered by a lightdressing. A f er three days dressings are changed or removed. The entrance Points of the pins should be cleanedwith soap water. Pin tract infec t ons may be ini t ated by frequent manipula t on of the entrance Points.
The frequency of X-ray controls should be based on the disloca t on risk of the stabilized fracture.
Pin tract infec t ons require oral an t bio t cs and the interrup t on of ac t ve or passive mo t on. Occasionally wideningof the entrance Points by incision is advisable. Apparent loosening requires pin removal. Reinser t on is seldomnecessary, as disloca t on usually occurs at the end of the xat on period. Primary consolida t on takes place within3 - 6 weeks, depending on the involved bone type and the extent of so f t ssue trauma. The MINI FIX can usually bere-moved without local anaesthe t cs. Further physiotherapy is needed, to op t mize func t onal out-come.
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JMF (T) Group Co.,Ltd.75/74 Moo 11, Paholyothin Rd.,Klongnueng, Klongluang,
Pathumthani 12120Thailand
Distributed by :
01-0010
Rev. 1.0.1
Tel.: +66 (0)2 529 64 30Fax.: +66 (0)2 529 64 31
Email: info@jm f -group.comWeb: www.jm f -group.com