Documente Academic
Documente Profesional
Documente Cultură
TECHNIQUE GUIDE
Features
Sacral washer prevents rounded sacral
Technique
This procedure can be performed manually using a Universal
Chuck with T-Handle, or with power equipment.
Instruments and implants required:
2 Sacral Bar Kits [199.93x]
6.0 mm Drill Bit, Jacobs chuck, 195 mm [310.60J] (included in kit)
Rod Cutter [388.72]
Combination Wrench, 11 mm width across flats [321.16] or
Ratchet Wrench, 11 mm width across flats [321.20]
Note: In the case of a bilateral fracture, it is necessary to have at least
one side of stable reduction using an iliosacral screw or posterior plate
in addition to inserting sacral bars.
The correct length of the sacral bar should extend 2530 mm on either
side of the posterior iliac crests (bar will be cut to size intraoperatively).
1 Make incision
Make slightly curved bilateral incisions just lateral
to the posterior superior sacroiliac joint. The incision
on the fracture side should be large enough to allow
for direct visualization and reduction.
Technique (continued)
3 Drill
Drill a set of gliding holes using a 6.0 mm Drill Bit.
The holes should be located so that the first bar is
placed at the level of L5/S1 interspace as seen on
C-arm or by palpation. The second set of holes
should be at least 1.5 cm distal to the first. When
drilling the gliding hole, make sure that the drill
exits the inner aspect of the posterior tubercle
above the sacral lamina. Care must be taken to
ensure that there is enough bone in the posterior
tubercle to hold the second bar. If not, use of an
iliosacral screw or posterior plate will be necessary.
Technique (continued)
9 Trim Sacral Bars
Use the Rod Cutter [388.72] to cut the ends of
the sacral bars flush with the hexagonal nuts.
Rod Cutter
[388.72]
Final construct
Product Information
6.0 mm Threaded Sacral Bar Kits
199.931
199.932
199.933
199.934
199.935
199.936
160 mm
180 mm
200 mm
220 mm
240 mm
260 mm
Note:
Construct described in this Technique
Guide requires two Sacral Bar Kits.
160 mm
180 mm
200 mm
220 mm
240 mm
260 mm
Additionally Available
150.16
105.957
321.16
321.20
388.72
393.10
398.86
511.20
Kits available nonsterile or sterile-packed. Add S to catalog number to order sterile Sacral Bar Kit.
* Individual components may be purchased separately, nonsterile only.
SYNTHES (USA)
1302 Wrights Lane East
West Chester, PA 19380
Telephone: (610 ) 719-5000
To order: (800 ) 523 -0322
Fax: (610 ) 251- 9056
2000 SYNTHES