MINI FIX Titanium External Fixator For Mandibula & Hand
Ex Fix
Titanium Mini Fixator Set
14-1000
MANDIBULA AND FINGER FIXATOR SET
Set contents :
2
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
JMF (T) (T) Grou G pC Co.,Ltd Ltd. - EEmail: mailil: info@jmft inf i fo@j @jmft ft-group.com - Web: W b www.j jmft ft-group.com Group Co.,Ltd. www.jmft
Titanium Mini Fixators
Ex Fix
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, LENGTH 70MM, THREAD 15MM
KIRSCHNER WIRE DIA. 1.8MM, LENGTH 70MM, THREAD 15MM
JMF (T) Group Co.,Ltd. -group.com www.jmft -group.com (T) Grou G roup p Co C o.,Ltd Ltd. - Email: Email: info@jmft info@ info@jmft jmft-grou group p.com com - Web Web:: www w ww.jmft jmft-grou group p.com com
3
Ex Fix
4
Titanium Mini Fixator Instruments
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
JMF (T) (T) Grou G pC Co.,Ltd Ltd. - EEmail: mailil: info@jmft inf i fo@j @jmft ft-group.com - Web: W b www.j jmft ft-group.com Group Co.,Ltd. www.jmft
Titanium Mini Fixator Technique
Ex Fix
MINI FIXATOR SURGICAL TECHNIQUE AND PRODUCT DESCRIPTION
Description The MINI FIX Hand Fixator consists of two or more titanium blocks for the fixation of the threaded Pins. The gliding blocks are adjusted to the desired length on a threaded rod. MINI FIX I and II also permit secondary distraction or compression. Joint motion tan be excluded permitted. MINI FIX Ill is slim enough to interdigital application, whereby tissue protection is guaranteed by its smooth design. Preoperative Planing For optimal fixation, careful preoperative planning is essential. Hereby injuries of the nerves and the vessels have to be avoided. Where joints are mobilized, lateral positioning of the fixator is necessary. If bone grafting is applicated, all necessary measures should be implemented in advance. The Patient must be informed of treatment demands and potential complications. An image intensifier is usually necessary to assure correct application. Certain fracture Patterns require additional fixation with screws, a tension band or a K-wire. Indications (examples) - Fractures of the shaft, simple or comminuted - Intraarticular fractures - Compound fractures - Trauma or tumor - related bone defects of the carpus, metacarpus or phalanges - Arthrodesis - Distraction osteogenesis (i.e. lenthening of the thumb) - Metacarpal Segment transport - Callotaxis lengthening of the capitate after resection of the lunate bone (for treatment of Kienbock3 disease, Stage III - Fractures of the mandibula
1. Fixator description
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Ex Fix
Titanium Mini Fixator Technique
2. Fixator assembly
3. Fracture of the mandibula Application of MINI FIX fixator at the lower mandibular rim. Preservation of the mandibular nerve is essential.
6
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Titanium Mini Fixator Technique
Ex Fix
4. Using the holding lever The Fixation 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 application of MINI FIX D4, Comminuted fracture of proximal phalanx, dorso - lateral transarticular MINI FIX III. The Threaded pins should be placed beside the proximal extensor tendon
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Ex Fix
Titanium Mini Fixator Technique
6. Comminuted intraarticular fracture of the head of the proximal phalanx interdigital transarticular application of MINI FIX
7. Defect of the IIIrd metacarpal bone Cancellous bone graft, compression osteosynthesis with a dorsally applied MINI FIX
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Titanium Mini Fixator Technique
Ex Fix
8. Arthrodesis Compression arthrodesis in the PIP - joint using MINI FIX
9. Distraction osteogenesis following amputation of the thumb Osteothomy in the first metacorpus Bilateral application of MINI FIX II. Distraction should begin on the 10th day (1 mm 7 day)
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Ex Fix
Titanium Mini Fixator Technique
10.Distraction of Capitate Following resection of the lunate due malacia Stage Ill, osteotomy of the capitate is performed together with temporary fixation of the scaphulo - capitate and scaphulo trapecoid joint. Distraction should begin on the 10th day (1 mm / day)
11. Active or passive motion Lateral positioning and central loosening of the joint fixation screws permit active or passive motion therapy. The axis of motion of the fixator should be parallel to the joint axis. The degree of healing should be suited for mobilization
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Titanium Mini Fixator Technique
Ex Fix
Postoperative Care The majority of injuries tan be stabilized an an ambulatory setting. Postoperatively wound are covered by a light dressing. After three days dressings are changed or removed. The entrance Points of the pins should be cleaned with soap water. Pin tract infections may be initiated by frequent manipulation of the entrance Points. The frequency of X-ray controls should be based on the dislocation risk of the stabilized fracture. Pin tract infections require oral antibiotics and the interruption of active or passive motion. Occasionally widening of the entrance Points by incision is advisable. Apparent loosening requires pin removal. Reinsertion is seldom necessary, as dislocation usually occurs at the end of the fixation period. Primary consolidation takes place within 3 - 6 weeks, depending on the involved bone type and the extent of soft tissue trauma. The MINI FIX can usually be re-moved without local anaesthetics. Further physiotherapy is needed, to optimize functional out-come.
JMF (T) (T) Grou G roup p Co C o.,Ltd Ltd. - Ema Email: il: info@jmft info@ info@jmft jmft-grou group p.com com - Web Web:: www w ww.jmft jmft-grou group p.com com Group Co.,Ltd. -group.com www.jmft -group.com
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Distributed by :
01-0010 Rev. 1.0.1
JMF (T) Group Co.,Ltd. 75/74 Moo 11, Paholyothin Rd., Klongnueng, Klongluang, Pathumthani 12120 Thailand
Tel.: +66 (0)2 529 64 30 Fax.: +66 (0)2 529 64 31 Email:
[email protected] Web: www.jmft-group.com