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PRS - 1

PPQ PELVIC RECONSTRUCTION SYSTEM ilO emergency team for broken bones®

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PRS - 2

PRS Pelvic Reconstruction System emergency team for broken bones® Spiral Drill, D=3.5mm, L=110/28 Omm, AO Connector Spiral Drill, D-3.2mm, L=145/225mm, AO Connector Cancellous Screw, locking, D=5.9mm i Spiral Drill, D=3.5mm, L=110/28Dmm, AO Connector

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PRS - 3

Features Features Implant: Material: • Plate curved in 2 different degrees - anatomically contoured (for male and female pelvic anatomies) • Can be anatomically shaped (Bending Pliers and Setting Instruments) • Locking screw arrangement • Bending Templates (to avoid repeated in situ attachment and readjustment) • Variable angle (+/- 15°) between plate and screw—also in the case of locking screw arrangement • late material: Titanium P • aterial of screws: TiAL6V4 ELI M • asier removal of implant after fracture has healed E • mproved fatigue strength of implant I • educed risk of cold bonding...

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PRS - 4

Indications • all pelvic injuries PRS Pelvic Reconstruction System emergency team for broken bones® Screws 3 types of screws can be used: Ø 4.5 mm Cortical Screw Ø 5.9 mm Cancellous Screw Ø 5.9 mm locking Cancellous Screw 04 i.t.s. Bending Devices Bending Forceps Plate Benders

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PRS - 5

Curved Plate radius 88 mm Curved Plate radius 108 mm Application of Acetabular Plate • ccess by means of KocherA Langenbeck approach, possibly using trochanter-flip osteotomy and surgical luxation • eduction and temporary fixation R using K-Wire • haping of the Bending Template S • ppropriate final adjustment of A the plate • pplication of the plate and A temporary fixation using spikes and fluoroscopic or X-ray inspection • inally, insertion of cortical, F cancellous-bone and locking screws into the holes of the plate • luoroscopic or X-ray inspection F • rainage of the area and layered D...

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PRS - 6

Reconstruction of Anterior Pelvic Ring using Reconstruction Plate PRS Pelvic Reconstruction System emergency team for broken bones® radius 88 mm radius 108 mm Curved Plates 06 i.t.s.

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PRS - 7

• lio-inguinal approach or possibly I Stoppa approach • eduction using Weber or R Jungbluth forceps, Schanz screw and temporary K-Wire fixation if required • Attachment and adjustment of appropriate Bending Template, with fluoroscopic or X-ray inspection if required • djustment and setting of A reconstruction plate on the bending template using setting instruments or Bending Pliers • Attachment of the plate and temporary fixation using spikes and fluoroscopic or X-ray inspection • inally, insertion of cortical, F cancellous-bone and locking screws. Conclude with fluoroscopic or X-ray...

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PRS - 8

Application of Symphysis Plate PRS Pelvic Reconstruction System emergency team for broken bones® Symphysis Plate 08 i.t.s.

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PRS - 9

• ower medial laparotomy L (emergency) or Pfannenstiel incision • xtra-peritoneal opening of the E pelvis minor in the linea alba • renulation of attachments to C the rectus abdominis from inside, if possible do not sever laterally • esection using Weber or R Jungbluth forceps • ositioning of 4 or 6-hole plate P superiorly (adjust using setting instruments if required) • Temporary fixation using spikes and fluoroscopic or X-ray inspection • inally, insertion of cortical, F cancellous-bone and locking screws • rainage of cavum retzii, closure D of the wound locking PRS Pelvic Reconstruction...

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PRS - 10

Application of SIJ Plate PRS Pelvic Reconstruction System emergency team for broken bones® SIJ Plate l-shaped 10 i.t.s. SIJ Plate closed

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PRS - 11

• ntero-lateral approach or first A window in the context of an ilioinguinal approach • djustment of sacroiliac joint A with Hohmann retractors • Resection using Weber or Jungbluth forceps • djustment of a double-hole A plate or double L-plates • emporary fixation using spikes T and fluoroscopic or X-ray inspection • inally, insertion of cortical, F cancellous-bone and locking screws • rainage, closure of wound D locking PRS Pelvic Reconstruction System i.t.s. 11

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PRS - 12

Ilio-Iliac Distance Osteosynthesis PRS Pelvic Reconstruction System emergency team for broken bones® Straight Plate 12 i.t.s.

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PRS - 13

bilateral superior 5 cm long incision from the spina iliaca posterior superior ■ Bilateral exposure of rear iliac • Reduction using Schanz screw, if necessary with the help of redaction forceps • Determination of plate length. • Chisel off plate bearing (approx. • Bend the plate from one side. Push the plate through behind the sacrum. Bend the plate on the other side in situ • Adjust plate and insert both PRS Pelvic Reconstruction System screws on iliac crest. Alternate • Insert locking screws in both holes of the short side piece of the plate, at the same time making sure that the screwing...

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PRS - 14

SIJ Screw Fixation PRS Pelvic Reconstruction System emergency team for broken bones® SIJ Screw D=7.3mm 14 i.t.s.

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PRS - 15

• Approach: abdominal position, lateral stab incision after fluoroscopic inspection • osition the guide wire under P fluoroscopic inspection, alternating in inlet and outlet view or with 2D or 3D navigation • etermine the length and D position cannulated self-drilling 7.3 mm screw with spacer disk. (It is necessary to drill into cortical bone only when bone is very hard) • inal X-ray inspection and wound F closure locking PRS Pelvic Reconstruction System i.t.s. 15

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PRS - 16

Implants PRS Pelvic Reconstruction System emergency team for broken bones® Order No. 1 Symphysis Plate, 4-Hole 21161-4 Symphysis Plate, 6-Hole 21161-6 2 SIJ Plate, 5-Hole, Right 21171-5 SIJ Plate, 5-Hole, Left 21172-5 3 SIJ Plate, 4-Hole, Closed 21173-4 4 PRS Plate, 10-Hole, Straight 21181-10 PRS Plate, 11-Hole, Straight 21181-11 PRS Plate, 12-Hole, Straight 21181-12 PRS Plate, 13-Hole, Straight 21181-13 PRS Plate, 14-Hole, Straight 21181-14 5 PRS Plate, 4-Hole, Curved, R88 21194-4 PRS Plate, 5-Hole, Curved, R88 21194-5 PRS Plate, 6-Hole, Curved, R88 21194-6 PRS Plate, 7-Hole, Curved, R88...

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