THE BRIDGES FOR ALL CASES

Reconstruction of the chest wall or sternum becomes necessary whenever owing to tumours the affected tissue and affected parts of bone have to be removed.

Reconstruction following (partial) resection of the chest wall
Resection of the chest wall (ribs) during tumorectomy calls for not only coverage of the soft-tissue defect but also stabilisation of the chest wall.

Reconstruction following (partial) resection of the sternum
Resection of the sternum, or of the anterior chest wall, also requires not only coverage of the defect but also osseous stabilisation for restoration of the chest wall.

Paravertebral reconstruction
Dorsolateral resection of ribs also requires restoration of chest wall stability.

Parasternal reconstruction
Mediolateral resection of ribs also requires restoration of chest wall stability.

 

STRATOS is used to stabilise the chest wall following the removal of multiple ribs or parts of the sternum, the aim being complete restoration of the chest wall.

Application

  • one implant bridge per resected rib level
  • an implant bridge comprises of two titanium rib clips and one Titanium connecting bar
  • the titanium rib clips are selected according to the anatomical situation and placed on the left and right sides of the rib
  • after precise positioning and alignment of the Titanium rib clips the Titanium connecting bar is shortened to the particular length and introduced to the connectors of the Titanium rib clips
  • the titanium rib clips are fixed in place on the rib
  • the titanium connecting bar is crimped onto the connectors of the Titanium rib clips

Advantages

Technical advantages

  • Technically simple, fast and safe attachment of the implants
  • Few instruments Required for use

Stabilisation

  • Secure connection through crimping of the connectors of the titanium rib clips with the titanium connecting bar
  • Three-dimensional secure and functionally stable fixation
  • No damage due to perforation
  • Fixation also on rib cartilage possible

Immediate and complete stability

  • The supplied rib is immediately stable in motion and not rigidly fixed
  • The flexibility of the implant does not restrict natural movement postoperatively
  • All implants are made of biocompatible pure titanium
  • Interference-free imaging in X-rays, CT and MRI

Mobilization

  • The patient is mobile immediately after the procedure
  • Pain relief through motion-stable fixation
  • No pain-related breathing restrictions

Implants

012-02225
Titanium rib clip, right, 22.5°, Standard

012-01225
Titanium rib clip, left, 22.5°, Standard

012-02450
Titanium rib clip, right, 45°, Standard

012-01450
Titanium rib clip, left, 45°, Standard

012-04225
Titanium rib clip, right, 22.5°, XL

012-03225
Titanium rib clip, left, 22.5°, XL

012-04450
Titanium rib clip, right, 45°, XL

012-03450
Titanium rib clip, left, 45°, XL

014-01000
Titanium rib clip, straight, Standard

014-01001
Titanium rib clip, straight, XL

012-02226
Titanium rib clip, right, 22.5°, Standard,
rotatable connector

012-01226
Titanium rib clip, left, 22.5°, Standard,
rotatable connector

012-02451
Titanium rib clip, right, 45°, Standard,
rotatable connector

012-01451
Titanium rib clip, left, 45°, Standard,
rotatable connector

012-04226
Titanium rib clip, right, 22.5°, XL,
rotatable connector

012-03226
Titanium rib clip, left, 22.5°, XL,
rotatable connector

012-04451
Titanium rib clip, right, 45°, XL,
rotatable connector

012-03451
Titanium rib clip, left, 45°, XL,
rotatable connector

014-01002
Titanium rib clip, straight, Standard,
rotatable connector

014-01004
Titanium rib clip, straight, XL,
rotatable connector

012-05010
Titanium rib clip, 2/1 segments, Standard,
rotatable connector

012-05011
Titanium rib clip, 2/1 segments, XL,
rotatable connector

012-10150
Titanium connecting bar, partially serrated, 150 mm

014-10190
Titanium connecting bar, completely serrated, 190 mm

012-10190
Titanium connecting bar, partially serrated, 190 mm

014-10230
Titanium connecting bar, completely serrated, 230 mm

012-10230
Titanium connecting bar, partially serrated, 230 mm

012-05020
Titanium connecting bar connector

014-10195
Titanium connecting bar, sliding function with stop, 195mm

012-05015
Titanium connecting bar connector, rotatable connector

Instruments

010-00025
Flat-nosed bending pliers for rib clips and connecting bars, 13.5 cm
Pliers for horizontal bending and axial torquing of the rib clips. In this procedure the pliers are used in pairs.

010-00020
Three-point bending pliers for rib clips, 18 cm
Pliers for longitudinal axis-adjustment of the angle of the Titanium rib clip

010-00050
Rib clip fixation pliers, Universal
Pliers for affixing the titanium rib clip to the rib
The pliers is placed vertically on the titanium rib clip to be closed and then closed completely.
In this procedure the hold-down device presses on the titanium rib clip and keeps it in position whilst the lateral jaws shape and fix the titanium rib clip segments around the rib.
With this instrument it is possible to affix not only standard titanium rib clips but also XL ones.

010-00037
Rib clip fixation pliers for Standard rib clips, angled 100°, 20.5 cm
010-00047
Rib clip fixation pliers for XL rib clips, angled 100°, 20.5 cm
Pliers for affixing the titanium rib clip to the rib.

010-00060
Rib clip fixation pliers for titanium rib clips, 2/1 segments
Pliers for fixing the Titanium rib clip, 2/1 segments, to the rib.
The pliers is placed vertically on the Titanium rib clip to be closed and then closed completely.
In this procedure the hold-down device presses on the Titanium rib clip and keeps it in position whilst the lateral claws shape and fix the titanium rib clip segments around the rib.
With this instrument it is possible to affix not only standard Titanium rib clips but also XL ones.

010-00030
Implant crimping pliers, 18 cm

010-00032
Implant crimping pliers, angled 100°, 20.5 cm
Pliers for final closure (crimping) of the connection between Titanium rib clip and Titanium connecting bar.

010-00010
Implant cutting pliers with exchangeable jaw inserts, 22cm
Pliers for cutting the titanium connecting bars

010-00090
Tunneling instrument, 36 cm
Instrument for the preparation of retrosternal or presternal soft-tissue tunnels in order to accommodate Titanium connecting bars..

010-00005
Sterilizing container (Polyphenylsulfone)

010-00007
Sterilizing Container (Polyphenylsulfone), half-size

Do you have a question or would you like further information? Please contact us!