Related Manuals for Synthes Pelvic C-Clamp
Summary of Contents for Synthes Pelvic C-Clamp
- Page 1 Pelvic C-Clamp. Emergency Stabili- zation Instrument for Unstable Injuries and Fractures of the Pelvic Ring (“C-type Injuries”). Technique Guide...
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Page 2: Table Of Contents
Indications and Contraindications Implants and Instruments Technique Guide Bibliography Image intensifier control Warning This guide is not sufficient for an immediate application of the Pelvic C-Clamp. Instruction by an experienced surgeon in hand- ling the Pelvic C-Clamp is highly recommended. Synthes... -
Page 3: Features And Benefits
The Pelvic C-Clamp does not control the rare cases of life threatening arterial bleeding. However, by mechanical stabilisa- tion alone, or enhanced by additional pelvic packing, concomi- tant venous bleeding can be managed, thereby gaining enough time for definitive hemmorage or arterial embolisation control. - Page 4 C-Clamp in those settings can save lives. Direct transverse compression of the sacroiliac joint controls bleeding from the fracture surfaces and from the presacral plexus. With the Pelvic C-Clamp applied, there is still adequate access for a laporotomy or tamponade. Inner rail...
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Page 5: Indications And Contraindications
– Hemodynamic stability of the patient after B and C-type injuries – Comminuted sacral fractures with the risk of compression of the sacral nerve plexus Note: In life threatening situations hemorrhage control takes priority over the potential risk of nerve root compression. Synthes Pelvic C-Clamp Technique Guide... -
Page 6: Implants And Instruments
68.306.000 Vario Case for Pelvic C-Clamp, no contents 03.306.010 Pelvic C-Clamp, complete Spare Parts 02.306.006 Nail for Pelvic C-Clamp, cannulated, short, length 190 mm 03.306.000 Inner Rail for Pelvic C-Clamp 02.306.007 Nail for Pelvic C-Clamp, cannulated, long, length 210 mm 03.306.001 Outer Rail for Pelvic C-Clamp... -
Page 7: Technique Guide
The Pelvic C-Clamp set consists of the instruments and implants for the emergency treatment of the indicated fracture types. The bottom layer of the Vario Case houses the Pelvic C-Clamp and the optional pliers. The upper layer houses the cannulated nails in two lengths and the remaining instruments. - Page 8 The little teeth on the tip of the nail allow a better grip onto the bone. The buttons on the top of the Pelvic C-Clamp can be locked. Ensure the buttons are not locked when applying the Pelvic C-Clamp to the patient, otherwise no or insufficient com- pression can be achieved.
- Page 9 In emergency situations, the resulting “fossa” can be used as a relatively secure point of refer- ence aid. For secure anchoring, the Pelvic C-Clamp must be placed at the level of the sacroiliac joints. Palpation with a blunt instrument, such as the Guide Handle for Kirschner Wire, allows for easy identification of this site, even with severe soft-tissue...
- Page 10 Gently hammer the Kirschner Wire into the bone with the Socket Wrench with Hammer. This Kirschner Wire will ensure an exact placement of the cannulated nail and prevents the nail from slipping. Note: Malpositioned Kirschner wires can be removed with the optional pliers or the wire cutter. Synthes...
- Page 11 Placement of the Pelvic C-Clamp Required instruments Pelvic C-Clamp, complete 03.306.010 Nail for Pelvic C-Clamp, cannulated, short, length 190 mm 02.306.006 Nail for Pelvic C-Clamp, cannulated, long, length 210 mm 02.306.007 Ratchet Wrench for Nut, hexagonal, 11 mm 321.200 Wire Cutter, large, with multiplication, length 220 mm 391.930...
- Page 12 Note: The locking mechanism locks the upper buttons, thus preventing unintended loss of compression during movement of the Pelvic C-Clamp. Once mounted, the Pelvic C-Clamp can be swung caudally and cranially, e.g. for a laparotomy or an angiography. Notes It is recommended to place a drape cloth or lap sponges as a cushion between the Pelvic C-Clamp and the patient.
- Page 13 – AP plain radiograph, CT if required, rarely oblique view films after application of Pelvic C-Clamp and during follow-up. – Do not use the Pelvic C-Clamp to lift the patient. – Wound closure; extended incisions may require a coapting skin suture.
- Page 14 Synthes special oil, Art.No. 519.970) and reassemble the device. The Pelvic C-Clamp should be checked after every use/ cleaning/ sterilization to confirm correct function. The complete sterile Pelvic C-Clamp should be kept ready for use in the resuscitation room. Synthes...
- Page 15 Synthes Pelvic C-Clamp Technique Guide...
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Page 16: Bibliography
J Orthop Trauma 18(2):102-5 Heini PF, Witt J, Ganz R (1996) The Pelvic C-Clamp for the emer- gency treatment of unstable pelvic ring injuries. A report on clin- ical experience of 30 cases. Injury Vol. 27, Suppl. 1 Schütz M, Stöckle U, Hoffmann R, Südkamp N, Haas N (1996) - Page 17 Synthes Pelvic C-Clamp Technique Guide...
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