The Midface Distraction System is an internal device, made out of a titanium alloy, designed for the distraction of cranial or midfacial bone in adult and pediatric populations.
Matrix WAVE ™ MMF System combines strength and simplicity to achieve maxillomandibular fixation.
MatrixWAVE™ MMF System is a bone-borne maxillomandibular fixation system that consists of a wave-shaped plate that is attached to the mandible and maxilla with self-drilling locking screws.
With MatrixMIDFACE, we have introduced a comprehensive plating platform for internal fixation of the cranio-maxillofacial skeleton on the market. Offering a unique screw diameter and a single screwdriver blade for all plates along with a novel consistent color coding strategy, the MatrixMIDFACE system has proven its ease use and its flexibility. These features, combined with the intrinsic plates, screws and instruments performance, explain why the MatrixMIDFACE system is now well established with the surgeons.
The Alveolar Ridge Distractor is an extraosseous device intended for vertical bone lengthening of the alveolar ridge in the mandible and the maxilla.
The design of the TRUMATCH CMF Patient Specific Plates for Mandible is individually engineered to meet the needs of each patient and surgeon. By selecting plate design features, surgeons can customize the reconstruction plate to create a patient specific solution. The Patient Specific Plates are manufactured to the planned patient anatomy, eliminating the time needed for intraoperative adaption and creating a stronger plate* with a lower overall profile.
Single instrument system for rapid and stable fixation of cranial bone flaps:
The MatrixRIB™ Fixation System is a unique system offering stable fixation of normal and osteoporotic ribs combined with minimally invasive technique. It consists of precontoured locking plates, locking screws, and intramedullary splints for the fixation and stabilization of ribs.
The Titanium Sternal Fixation System provides stable internal fixation of the sternum following sternotomy for primary or secondary closure and repair.
XCM BIOLOGIC™ Tissue Matrix is a sterile non-cross-linked 3D matrix derived from porcine dermis. It undergoes Kensey Nash’s proprietary Optrix™ process:*
The result is a biologic implant that is strong and contains the necessary properties to facilitate soft tissue healing. Once implanted, the body’s cells will infiltrate the matrix and incorporate it into the repair.
* Data on file at Kensey Nash Corporation
The Curvilinear Distraction System is an internal distraction osteogenesis device that advances the mandible along a curved trajectory to promote bone growth in both horizontal and vertical vectors to avoid the creation of, or to close, an anterior open bite.
The Sternal ZIPFIX™ System consists of PEEK (Poly-Ether-Ether- Ketone) implants, similar to cable-ties, and an application instrument. The system supports rapid sternal closure, with consistent force application.
Patient Specific Implants are designed and produced according to patient derived CT data, facilitating reconstructive surgery.
Matrix is the new plating platform for internal fixation of the cranio-maxillofacial skeleton and is a simple yet comprehensive system that offers specialized implants and instruments for orthognathic surgery.
The MatrixMANDIBLE™ Subcondylar Plates are designed to accommodate the curved topography and limited lateral bone surface available in the condylar neck region of the mandible. Three plates are proposed (trapezoidal, lambda and strut) to provide optimal solutions for all condylar neck region fractures and preferred surgical approach.
With the MatrixMANDIBLE Subcondylar Plates, the MatrixMANDIBLE system reaches an even higher level of comprehensiveness.
The External Midface Distractor is used to gradually lengthen the maxilla, midface and cranium. It offers multiple pre-, intra- and postoperative adjustments for vertical, horizontal, sagittal and occlusal vector control.
TRUMATCH® CMF Solutions deliver advanced technology and procedural support for facial reconstruction, orthognathic surgery, distraction and cranial reconstruction.
Our total solution seamlessly integrates virtual surgical planning, intraoperative patient specific tools and personalized implants to help you achieve your goals ofaccuracy, efficiency and patient benefit.
Learn more about TRUMATCH CMF Solutions at www.trumatchcmf.com
The Multi-Vector Distractor is a modular system that can be adapted to achieve a wide range of clinical results for multi-vector distraction, bone transport distraction and where single-vector distraction is preferred. The device can be modified for application where limited bone stock is present.
The Single Vector Distractor is an internal mandible distractor made out of stainless steel.
MatrixMANDIBLE™ System is the leading plating system for internal fixation of the mandible on the market. At the core of this established success, the MatrixMANDIBLE System philosophy: a streamlined, comprehensive system that offers flexibility, ease of use and high quality implants and instruments. Launched in 2008, the MatrixMANDIBLE System has not ceased to progress integrating new innovative features such as the MatrixMANDIBLE Preformed Reconstruction Plates or the MatrixMANDIBLE Subcondylar Plates to meet today surgeons expectations.
The Synthes Craniomaxillofacial (CMF) Distraction System is a modular family of internal distraction devices to lengthen the mandibular body and ramus.
MatrixMANDIBLE™ Preformed Reconstruction Plates are preshaped to the anatomy of the mandible. Their shape was obtained by statistical analysis of data derived from a large number of CT scans, originating from various adult populations*.
The combination of anatomic design and manufacturing processes allows reduction of stress in the plate compared to classical intraoperative bending of a flat plate. The minimal intraoperative bending that may be required preserves the optimal threaded hole shape, with no deformation of holes in the preformed sections. These features result in a plate, which has an increased fatigue life compared to flat reconstruction plates, reducing the risk of premature plate failure**.
* Data on file at Synthes.
** MatrixMANDIBLE Preformed Reconstruction Plates fatigue testing data shows increased fatigue life in comparison with MatrixMANDIBLE 2.8mm reconstruction plates. Test data does not indicate clinical performance. Test data on file at Synthes.
The IMF Screw Set provides a simple and effective solution for temporary, perioperative stabilization of the occlusion in simple nondisplaced adult mandibular and maxillary fractures and orthognathic procedures.
SynPOR™ HD Facial Shape System implants are designed for augmenting or reconstructing the contours of the craniofacial skeleton. Each implant is designed to minimize the need for intraoperative contouring.
A bone-borne modular distraction device for surgically assisted, rapid, palatal expansion.
The Titanium Single Vector Distractor is a ramus lengthening internal distractor with detachable footplates for a less invasive removal.
MatrixORBITAL™ System is a stand alone set for orbital fracture treatment based on our MatrixMIDFACE™ solution. A key feature is the MatrixMIDFACE Preformed Orbital Plates designed from a large pool of 3D CT-scans*. These three-dimensional implants closely approximate the topographical anatomy of the human orbital floor and medial wall, to provide an accurate reconstruction even after significant two-wall fractures.
* Data on file at Synthes.
The Maxillary Distractor is a stainless steel, intraoral distractor with a modular design. It can be customized to fit the anatomical needs of the patient, based on preoperative treatment planning.
MatrixNEURO™ System is a streamlined, comprehensive system for the internal fixation of the cranium:
*Mechanical test data on file at Synthes.
Rib fractures are common in blunt chest wall trauma. More severe chest wall trauma is a major cause of morbidity and mortality, especially in the presence of a flail chest where paradoxical inward movement of the flail segment in inspiration is found. Patients with flail chest often require aggressive pain control, ventilation, and prolonged ICU stay.1
The need to improve rib fracture treatment has been recognized for many years and some surgeons have been using operative approaches including plates, intramedullary devices, vertical bridging, wire, sutures, and struts to repair the chest wall. 2 3 4 5 6 7 8 9 10
These attempts indicate a trend in better rib fracture treatment to improve pain control, reduce duration of mechanical ventilation, reduce ICU stays, reduce the risk for chest wall deformities and ultimately improve patient care.
1) Tanaka A, Yukioka T, Yamaguti Y, Shimizu S, Goto H, Matsuda H, Shimazaki S. Surgical stabilization of internal pneumatic stabilization? A prospective randomized study of management of severe flail chest patients. J Trauma. 2002 Apr;52(4):727-32; discussion 732.
2) Schüpbach P, Meier P. A new rib plate for the stabilization of multiple rib fractures and thoracic wall fracture with paradoxical respiration [Article in German]. Helv Chir Acta. 1976 Dec;43(5-6):497-502.
3) Balci AE, Eren S, Cakir O, Eren MN. Open fixation in flail chest: review of 64 patients. Asian Cardiovasc Thorac Ann. 2004 Mar;12(1):11-5.
4) Mohr M, Abrams E, Engel C, et al. Geometry of human ribs pertinent to orthopedic chestwall reconstruction. J Biomech 2007;40:1310-1317.
5) Ciraulo DL, Elliott D, Mitchell KA, Rodriguez A. Flail chest as a marker for significant injuries. J Am Coll Surg. 1994 May;178(5):466-70.
6) Meier, P., et al., Zur Therapie des instabilen Thorax bei Rippenserienfrakturen, Schweiz. Med. Wschr., 108:606-613 (1978).
7) Moore, B.P., Operative stabilization of non-penetrating chest injuries, J. Thorac. Cardiovasc. Surg., 70, 619-639 (1975).
8) Samarrai AR. Costosynthetic stabilization of massive chest wall instability. Int Surg. 1990 Oct-Dec;75(4):231-3.
9) Paris, F., et al., Surgical stabilization of traumatic flail chest, Thorax, 30, 521-527 (1975)
10) Mayberry JC, Trunkey DD. The fractured rib in chest wall trauma. Chest surgery clinics of North America. 1997 May;7(2):239-61.
General surgical procedures for the reinforcement and repair of soft tissue where weakness exists including, but not limited to; defects of the thoracic wall, suture line reinforcement, and muscle flap reinforcement; hernia repair; soft tissue reconstructive procedures including but not limited to plastic and reconstructive surgical applications such as breast reconstruction, abdominal wall reconstruction, and orofacial reconstructive procedures; and for reinforcement of the soft tissues, which are repaired by suture or suture anchors.
Orthognathic surgery refers to the surgical repositioning of the maxilla, mandible, and the dentoalveolar segments to achieve facial and occlusal balance and to correct functional and aesthetic problems that are due to underlying skeletal deformities. It has become a standard procedure in cranio-maxillofacial surgery during the past 25 years for the treatment of severe bite problems and correction of dentofacial abnormalities, such as cleft lip and palate, Down’s syndrome, Crouzon and Pierre-Robin syndromes and hemifacial microsomia.
Procedure in which bone flaps, bone fragments or grafts are fixed to the cranium in order to provide stable closure.
Accidents or tumors may lead to mandibular damages of various degrees. To help avoid consequences on function and esthetics, dedicated treatments are essential. To specifically address mandibular reconstruction surgeries, the surgeons need a wide range of plates having different design and thickness. Specifically developed screws fix plates to the bone providing mechanical stability for healing.
The global population is changing. It is aging, leading a less healthy lifestyle and taking full advantage of the technological advances occurring in health care. These factors are contributing to a higher risk level for patients being treated with open cardiac surgery.
The patient’s risk of infection and other complications increases significantly with the presentation of additional risk factors, such as obesity, diabetes and COPD. Postoperative deep sternal wound infection with sternal dehiscence is a severe complication occurring in 1-5% of patients.1,2
DePuy Synthes offers a variety of sternal closure solutions to accommodate the varying needs of the changing global population. Sternal ZipFix, as an easy to use sternal closure system, offers various advantages over conventional wire closure. This solution is our recommendation for patients up to medium risk level.4 For severe obese patients, especially in combination with other risk factors, primary sternal plating should be considered3.
1)Robicsek F, Fokin A, Cook J, Bhatia D. Sternal Instability after Midline Sternotomy. Thorac Cardiov Surg
2000; 48: 1-8
2)Molina JE, Lew RS, Hyland KJ. Postoperative sternal dehiscence in obese patients: incidence and prevention. Ann Thorac Surg. 2004 Sep;78(3):912-7; discussion 912-7. PubMed PMID: 15337019.
3)J. Raman et al: Sternal closure with titanium plate fixation – a paradigm shift in preventing mediastinitis
4)Grapow et al. Journal of Cardiothoracic Surgery 2012, 7:59
Surgical removal of part of the skull to expose the brain.1
Surgical repair of a defect or deformity of the skull.1
1Reference: The American Heritage® Medical Dictionary
Distraction Osteogenesis are challenging for the treatment of skeletal deformities. The targeted bones, which require lengthening, are first osteotomized before being pulled apart to trigger neo-bone generation. These surgeries have considerable consequences for the, usually, young patient since it reestablished key vital equilibrium.