Frame Plate Square Craniomaxillofacial Introduction, Features, Benefits, Indications, Precautions, Warnings and Surgical Technique.

The aim of surgical fracture treatment with Frame Plate Square Craniomaxillofacial is to reconstruct the bony anatomy and restore its function. According to the AO, internal fixation is distinguished by anatomical reduction, stable fixation, preservation of blood supply, and early, active mobilization.

Frame Plate Square Craniomaxillofacial

Frame Plate Square Craniomaxillofacial Features and Benefits

  • Wide offering of Frame Plate Square geometries, sizes, and strengths
  • Seven screw diameters to choose from: 1.5 mm, 2 mm, 2.5 mm, 2.8 mm, 2 mm Locking, 2.5 mm Locking and 2.8 mm Locking
  • Rounded edges on plates for less irritation to soft tissue, where applicable
  • Reduced plate/screw profile, where applicable
  • Emergency screws available for each screw diameter
  • Plates and Screws are made from pure Titanium
  • Standardized instrumentation
  • locking plate increases construct stability, decreases risk of screw back-out and subsequent loss of reduction. It also reduces the need for precise anatomic plate contouring and minimizes the risk of stripped screw holes.

Frame Plate Square Craniomaxillofacial Sizes

SizeTI (codes)
1.5 mm1206001T
2 mm1206002T
2.5 mm1206003T
2.8 mm1206004T
2 mm Locking1206005T
2.5 mm Locking1206006T
2.8 mm Locking1206007T

Frame Plate Square Craniomaxillofacial Indications

Plate is intended for use in selective trauma of the midface and craniofacial skeleton, craniofacial surgery, reconstructive procedures, and selective orthognathic surgery of the maxilla and chin.

Frame Plate Square Craniomaxillofacial Contraindications

Plate is contraindicated for use in areas with active or latent infection or insufficient quantity or quality of bone.

Frame Plate Square Craniomaxillofacial Precautions

  • Confirm functionality of instruments and check for wear during reprocessing. Replace worn or damaged instruments prior to use.
  • It is recommended to use the instruments identified for this plate.
  • Handle devices with care and dispose worn bone cutting instruments in a sharps container.
  • Always irrigate and apply suction for removal of debris potentially generated during implantation or removal.

Frame Plate Square Craniomaxillofacial Warnings

  • Plate can break during use (when subjected to excessive forces). While the surgeon must make the final decision on removal of the broken part based on associated risk in doing so, we recommend that whenever possible and practical for the individual patient, the broken part should be removed. Be aware that implants are not as strong as native bone. Implants subjected to substantial loads may fail.
  • Instruments, screws and cut plates may have sharp edges or moving joints that may pinch or tear user’s glove or skin.
  • Take care to remove all fragments that are not fixated during the surgery.
  • While the surgeon must make the final decision on implant removal, we recommend that whenever possible and practical for the individual patient, fixation devices should be removed once their service as an aid to healing is accomplished. Implant removal should be followed by adequate post-operative management to avoid refracture.

Frame Plate Square Craniomaxillofacial General Adverse Events

As with all major surgical procedures, risks, side effects and adverse events can occur. While many possible reactions may occur, some of the most common include: Problems resulting from anesthesia and patient positioning (e.g. nausea, vomiting, dental injuries, neurological impairments, etc.), thrombosis, embolism, infection, nerve and/or tooth root damage or injury of other critical structures including blood vessels, excessive bleeding, damage to soft tissues incl. swelling, abnormal scar formation, functional impairment of the musculoskeletal system, pain, discomfort or abnormal sensation due to the presence of the device, allergy or hypersensitivity reactions, side effects associated with hardware prominence, loosening, bending, or breakage of the device, mal-union, non-union or delayed union which may lead to breakage of
the implant, reoperation.

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Frame Plate Square Craniomaxillofacial Surgical Technique

Expose and reduce fracture

After completing the preoperative plan, expose the fracture or osteotomy site. In trauma reduce the fracture as required.

Select and prepare the implant

Select the appropriate plate for the nature of the fracture. Orient the plate so that the topside is facing out. Cut to length, if necessary.

Contour the plate

Contour the plate to fit to the patient anatomy using the bending pliers. Ensure the plate is passively adapted to the bone.

Position the plate

Place the plate over the fracture or osteotomy site.

Drill the hole

Predrilling is recommended in complex fractures of the midface and in regions with thick cortical bone. Drill the first hole close to the fracture or osteotomy site.

Screw insertion

To engage the screw on the blade, align the blade over the cruciform recess and slowly rotate it counter-clockwise until the blade drops into the recess; firmly press the blade to fully seat it into the screw. A half counter-clockwise rotation of the engaged screwdriver facilitates the screw removal from the clip.

Insert the first screw close to the fracture or osteotomy site, and tighten until secure.

Insert the second screw on the opposite side of the fracture or osteotomy site, and then all remaining screws following the outlined procedure.

If the screw is inserted with angulation, verify that the screw is safely retained in the plate hole and that the construct profile is not significantly increased.

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