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[Innovated Judet Ribs Plates - Preclinical Study, First Clinical Experience].

F Vyhnánek1, D Jírava, M Očadlík

  • 1Traumatologické centrum Fakultní nemocnice Královské Vinohrady, Praha.

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|September 28, 2018
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Summary
This summary is machine-generated.

An innovative Judet plate was developed for rib fracture stabilization, improving stability and reducing invasiveness. Early clinical use in flail chest patients showed safe and effective osteosynthesis, facilitating early ventilator support withdrawal.

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Area of Science:

  • Orthopedic surgery
  • Biomedical engineering
  • Trauma surgery

Background:

  • Rib fractures, particularly flail chest injuries, require effective stabilization to improve respiratory function and reduce morbidity.
  • Existing Judet plates have been used for rib fracture stabilization, but innovations were sought to enhance performance and patient outcomes.

Purpose of the Study:

  • To develop and evaluate an innovated Judet plate with improved technical parameters for rib fracture osteosynthesis.
  • To establish a new surgical technique for plate fixation using novel instruments.

Main Methods:

  • Construction of an innovative Judet rib plate and associated instruments by a medical device company in collaboration with trauma and surgery departments.
  • Preclinical evaluation including osteosynthesis on a chest model and cadaveric studies.
  • Clinical application in patients with flail chest injuries, with initial use in three patients.

Main Results:

  • The innovated plate features an adapted profile, improved fixation clips, locking screws, and reduced weight, enhancing anatomical fixation and stability.
  • Preclinical testing validated the plate's stability and ease of use with new instruments.
  • Initial clinical application in three flail chest patients demonstrated safe and stable osteosynthesis, enabling early withdrawal of ventilatory support without complications.

Conclusions:

  • The innovated Judet plate offers significant improvements in technical parameters, including stability, fixation, and reduced invasiveness, making it comparable to other commercially available plates.
  • Surgical stabilization using the innovative Judet plates is a safe and effective method for treating flail chest injuries, improving respiratory function and shortening ventilation duration.
  • This innovation represents a significant advancement, potentially extending the indications for surgical chest stabilization.