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THORACIC OSTEOSYNTHESIS FOR TRAUMASTHORACIC OSTEOSYNTHESIS FOR TRAUMAS
USING THEUSING THE SSTRATOS & STRACOSTRATOS & STRACOS
TITANIUM SYSTEMSTITANIUM SYSTEMS
Les HpitauxLes HpitauxUniversitairesUniversitairesde STRASBOURGde STRASBOURG
Prof. JeanProf. Jean--Marie WIHLMMarie WIHLM
Dr.Dr. MirceaMircea Dan VASILESCUDan VASILESCU
Thoracic Surgery DepartmentThoracic Surgery Department
StrasbourgStrasbourg
FranceFranceSRCT 1994 Iasi Romania octombrie 2010
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Indication 3 : TraumasTraumas
For surgical stabilization after severe chest wall trauma((Flail chestFlail chest))
The special design of the rib clips does also allow three-dimensional
stabilization of single fragments
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iie 2010
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Agrafes de JUDET
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Indications : TraumaTrauma
Operative Chest Wall Fixation
with Osteosynthesis Plates
Christine Engel, MD, James C.Krieg, MD, Steven M. Madey, MD,
William B. Long, MD, and
Michael Bottlang, PhD
J Trauma. 2005;58:181186.
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Indications : TraumaTrauma
A few important statements and conclusions of this article:
Several potential advantages of operative chest wall
stabilization have been reported. These include:
reduced duration of mechanical ventilation
shortened ICU stay and hospitalization
decreased likelihood of clinically significant long-term
respiratory dysfunction and
skeletal deformity .
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S T R A C O S
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+ 1 moisSRCT 1994 Iasi Romania octombrie 2010
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Thoracic ostheosynthesisThoracic ostheosynthesis & STRATOS + STRACOS system& STRATOS + STRACOS system
ConclusionsConclusions reliablereliable newnew technologytechnology
established principlesestablished principles forfor metallic steelmetallic steel implants : 30implants : 30 yearsyears
improvedimproved design,design, handlinghandling, fixation, fixation
ergonomicergonomic instrumentsinstruments
AdvantagesAdvantages ofof titaniumtitanium
nono allergyallergy highhigh tissue compatibilitytissue compatibility
resistanceresistance to infectionto infection CT scan,CT scan, MRIMRI imagingimaging
Traumas
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Thoracic ostheosynthesis renewalThoracic ostheosynthesis renewal :: IndicationsIndications
multiple, severe or displaced fracture
non-unions with chronic pain
instable or impacted flail chest
earlier weaning from positive pressure ventilation
costal osteotomies or fractures caused by a rib spreader
flail chest requiring thoracotomy for other internal injuries
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