MatrixORTHOGNATHIC PlatingSystem. Specialized implants andinstruments for orthognathic surgery.
Technique Guide
CMF Matrix
Introduction
Surgical Technique
Product Information
References
Table of Contents
MatrixORTHOGNATHIC Plating System 2
Features and Benefits 4
MatrixORTHOGNATHIC Plate and Screw Color-Coding 6
AO Principles 7
Indications 8
LeFort I Fixation 9
Sagittal Split Fixation 12
Genioplasty Fixation 20
Implants 22
Instruments 26
Modules and Accessories 30
MatrixORTHOGNATHIC Plating System 32
References 36
Synthes
MatrixORTHOGNATHIC Plating System. Specialized implants and instruments for orthognathic surgery.
The aim of surgical fracture treatment is to reconstruct thebony anatomy and restore its function. According to the AO, internal fixation is distinguished by anatomical reduction,stable fixation, preservation of blood supply, and early, activemobilization.1,2 Plate and screw osteosynthesis has been established and clinically recognized for some time.
Keeping the AO philosophy at its core, Matrix is the newplating platform for internal fixation of the craniomaxillofacialskeleton–addressing neuro, craniofacial, mandibular, and orthognathic surgery. Matrix is a simple, yet comprehensive,system that offers flexibility and ease of use.
Simple– All screws work with all plates within each Matrix system– One screwdriver for all screws within each Matrix system– Color-coding by strength for easy identification
Effective– Low plate-screw profile, where applicable– Self-retaining screws/blades– Rounded edges on plates
Efficient– Standardized instrumentation– Reduced inventory for hospitals, without
compromising clinical solutions
1. Müller, ME, et. al.2. Rüedi, TP, et. al.
2 Synthes MatrixORTHOGNATHIC Plating System Technique Guide
Introduction
Synthes 3
One screw diameter for allorthognathic indications
Reversible L-plates
Simple yet comprehensivesystem for orthognathicsurgery
MatrixORTHOGNATHIC Screws– One standard screw diameter
– 1.85 mm screws (LeFort I, BSSO, genioplasty)– 2.1 mm screws serve as emergency screws
– Screw designs include– Self-drilling (purple)– Self-tapping (blue)– Emergency (pink)
– Screw lengths/thread pitch include– 4 mm–8 mm / 0.6 mm thread pitch– 10 mm–18 mm / 1.0 mm thread pitch
– Screw recess designed for– Self-retention on screwdriver blades– Reduced screwdriver blade cam-out– Easy screw/blade re-engagement
– Titanium alloy (Ti-6Al-7Nb)
Notes: A 1.55 mm diameter MatrixMIDFACE screw is compatible with the MatrixORTHOGNATHIC Plating System.
See page 14 for limitations regarding mandibular applications.
Features and Benefits
MatrixORTHOGNATHIC Plating System– MatrixORTHOGNATHIC is a simple yet comprehensive
system that offers precise implants and instruments for orthognathic surgery.
– One standard screw diameter for all orthognathic indications in the midface and mandible.
– Reversible plates allow reduced inventory (where applicable).
– Etched lines, in 1 mm increments, on implants provide a visual aid for plate bending (where applicable).
– Color-coding by strength for easy identification.
4 Synthes MatrixORTHOGNATHIC Plating System Technique Guide
MatrixORTHOGNATHIC Plates
Maxillary Plates– L-Plates
– Reversible design– Etched lines, in 1 mm increments, to help determine
advancement– Bar width increases as bar length increases– 0.5 mm thick plates (blue) – 0.7 mm thick plates (pink) – 0.8 mm thick plates (gold)
– Pre-bent maxillary plates with 2 mm to 10 mm advancements are 0.8 mm thick (gold)
– Adaption plates in 0.5 mm (blue), 0.7 mm (pink) and 0.8 mm (gold) thicknesses
– I-Plates in 0.5 mm (blue) and 0.7 mm (pink) thickness– Low profile – Commercially pure titanium
Note: The Maxillary Module will hold up to two thicknessesof L-plates.
– 0.5 mm and 0.7 mm thicknesses– 0.5 mm and 0.8 mm thicknesses– 0.7 mm and 0.8 mm thicknesses
Sagittal Split Plates– Adjustable slider plate
– Double-strut design with a low profile– Slider allows intraoperative correction of
occlusion during plate fixation– 0.7 mm thick (pink)
– Curved and straight BSSO plates– 6 mm to 12 mm bar lengths– Etched lines, in 1 mm increments, to help determine
advancement– 1.0 mm thick (gold)
– Commercially pure titanium
Genioplasty Plates– Pre-bent chin plates with 4 mm to 10 mm advancements– Etched midline for easy centering – 0.7 mm thick (pink)– Commercially pure titanium
Synthes 5
The color-coding of implants in the MatrixORTHOGNATHICPlating System helps to identify the level of strength. The color-coding scale for plates and screws conforms to the Matrix system strength color-coding scheme.
Matrix Plates■ Blue = 0.5 mm thick plates ■ Pink = 0.7 mm thick plates ■ Gold = 0.8 mm thick and greater plates
Note: The Maxillary Module will hold up to two thicknessesof L-plates.
– 0.5 mm and 0.7 mm thicknesses– 0.5 mm and 0.8 mm thicknesses– 0.7 mm and 0.8 mm thicknesses
Matrix Screws■ Blue = 1.85 mm diameter self-tapping screws ■ Purple = 1.85 mm diameter self-drilling screws■ Pink = 2.1 mm diameter self-tapping emergency screws
Also available:■ Silver = 1.55 mm diameter MatrixMIDFACE
self-drilling screws ■ Bronze = 1.55 mm diameter MatrixMIDFACE
self-tapping screws
Notes: A 1.55 mm diameter MatrixMIDFACE screw is compatible with the MatrixORTHOGNATHIC Plating System.See page 13 for limitations regarding mandibular applications.
MatrixORTHOGNATHIC Plate and Screw Color-Coding
6 Synthes MatrixORTHOGNATHIC Plating System Technique Guide
0.5 mm 0.7 mm 0.8 mm –1.0 mm
1.3 mm System/ 1.5 mm/2.0mm SystemMalleable
1.5 mm System/2.0 mm System
+2.0 mm System
Matrix 1.85 mm screwsScrew diameter Lengths Thread pitch Drill bit diameter
1.85 mm 4 mm–8 mm 0.6 mm 1.4 mm
1.85 mm 10 mm–18 mm 1.0 mm 1.4 mm
Matrix 2.1 mm screws (emergency)Screw diameter Lengths Thread pitch
2.1 mm 4 mm–8 mm 0.6 mm
2.1 mm 10 mm–18 mm 1.0 mm
MatrixMIDFACE 1.55 mm screwsScrew diameter Lengths Thread pitch Drill bit diameter
1.55 mm 4 mm–8 mm 0.6 mm 1.1 mm
1.55 mm 10 mm–12 mm 0.6 mm 1.25 mm
Comparable to the OrthognathicModular Fixation System
AO Principles
Synthes 7
In 1958, the AO formulated four basic principles, which havebecome the guidelines for internal fixation.3,4 They are:
Anatomic reductionFracture reduction and fixation to restore anatomical relationships. A comprehensive implant and instrument selection offers the ability to address most simple and complex fixation needs.
Stable fixationStability by rigid fixation (compression plating) or splintage,as the personality of the fracture and the injury requires.The MatrixORTHOGNATHIC plate and screw system is optimized to achieve stable bone fixation.
Preservation of blood supplyPreservation of the blood supply to soft tissue and bone bycareful handling and gentle reduction techniques.
Early mobilizationEarly and safe mobilization of the part and patient. TheMatrixORTHOGNATHIC system implants, combined with AO technique, provide stable fixation enough to allow afunctional aftercare.
3. Müller, ME, et. al.4. Rüedi, TP, et. al.
Indications
The Synthes MatrixORTHOGNATHIC Plating System is intendedfor use in selective trauma of the midface and craniofacialskeleton, craniofacial surgery, reconstructive procedures, and selective orthognathic surgery of the maxilla, mandibleand chin in adolescents* (greater than 12 to 21 years of age)and adults.
Specific Indications for Use:– Fractures of the midface and craniofacial skeleton– LeFort I osteotomies, sagittal split osteotomies and
genioplasties– Orthognathic surgery including reconstructive procedures
* Important considerations in achieving quality outcomes fororthognathic surgery in growing patients include accurate diagnosis, proper treatment planning and appropriate agesequencing of procedures.5
Please refer to package insert for the full list of indications,contraindications, warnings and/or precautions.
8 Synthes MatrixORTHOGNATHIC Plating System Technique Guide
5. Wolford, LM, et. al.
Surgical Technique
1Select plate design
After the osteotomy has been performed and the new position of the maxilla has been established, select the plateshape and thickness that best suits the bony anatomy, treatment objective and quantity and quality of bone.
Oblique L-plates, 90° L-plates, and I-plates are recommendedfor both medial and lateral buttress fixation.
Pre-bent maxillary plates are recommended for medial buttress fixation.
Anatomic L-plates are recommended for lateral buttress fixation.
Synthes 9
LeFort I Fixation
2Select and form the bending template (optional)
Instruments
03.511.360 – Bending Templates for Matrix Anatomic 03.511.362 L-plates, 3x3 holes
03.511.363 – Bending Templates for Matrix Oblique03.511.365 L-plates, 3x3 holes
03.511.366 – Bending Templates for Matrix 90° L-Plates,03.511.368 2x2 holes
Select the appropriate shape and length of bending templateaccording to the plate selection and form it to the bonyanatomy.
3Adapt plate to bone
Instruments
03.503.035 In-plane Plate Bender for Midface Plates
03.503.038 Plate Bender for Midface Plates (2 required)
03.503.039 Plate Cutter for Midface Plates
Cut and contour the plate according to the bending templateand the bony anatomy using the Plate Cutters (03.503.039)and the Plate Benders (03.503.038, 03.503.035) respectively.Bend the plate between the holes as necessary. Ensure theplate is passively adapted to the bone.
Notes:
– Etched lines, in 1 mm increments, to facilitate bendingand placement.
– Do not alter the bend in the pre-bent plates to achieve more than a 1 mm adjustment in either direction.
Cautions: – Confirm that plate positioning, drill bit length, and screw
length allow for adequate clearance of nerves, tooth budsand/or tooth roots, and the edge of the bone.
– Do not excessively bend the plates as it may produce internal stresses which may become the focal point foreventual breakage of the implant.
– Damage to developing tooth roots may result in dento-osseous ankylosis and localized dentoalveolar growth impairment.6
Surgical Technique
10 Synthes MatrixORTHOGNATHIC Plating System Technique Guide
6. Wolford, LM, et. al.
4Fixate plate to bone
Insert proper length 1.85 mm Matrix Screws to fixate theplate to the underlying bone.
If pilot hole is desired, select the appropriate 1.4 mm diameterdrill bit length to allow for the adequate clearance of nerves,tooth buds and/or tooth roots.
Caution: Drill rate should never exceed 1800 RPM. Higherrates can result in thermal generated necrosis of the boneand an oversized hole to be drilled. The detriments of anoversized hole include reduced pullout force, increased easeof screws stripping in bone, and/or suboptimal fixation. Always irrigate during drilling.
Notes:
– Self-drilling and self-tapping screw are available.– Use at least two screws on each side of the osteotomy to
achieve stable fixation.
Synthes 11
2Select and form the bending template
Instruments
03.511.369 – Bending Template for Matrix Curved03.511.372 Sagittal Split Plate
03.511.373 – Bending Template for Matrix Straight03.511.376 Sagittal Split Plate
Select the appropriate shape and length of bending templateaccording to the plate selection and form it to the bonyanatomy.
Surgical Technique
1Select plate design
After the sagittal split osteotomy, adjust the occlusion and thejoint bearing segment, and stabilize by intermaxillary fixation.
Select a plate shape that best suits the bony anatomy, treat-ment objective, and the quantity and quality of bone.
Straight and curved sagittal split plates are available formonocortical screw placement.
The Sagittal Split Plate with Adjustable Slider is also availableif intraoperative occlusal adjustments are necessary (see page 15 for technique).
Notes:
– For bicortical screw placement, 1.85 mm diameter Matrixscrews are available in lengths up to 18 mm (positionscrews). Predrill using 1.4 mm diameter drill bit withoutstop.
– The 10 mm to 18 mm length screws have a larger head diameter for better visibility and force transmission.
12 Synthes MatrixORTHOGNATHIC Plating System Technique Guide
Sagittal Split Fixation
3Adapt plate to the bone
Instrument
03.503.038 Plate Bender for Midface Plates (2 required)
Contour the plate according to the bending template andmake final adjustments to match the bony anatomy usingthe Bending pliers (03.503.038). Bend the plate between theholes as necessary. Ensure the plate is passively adapted tothe bone.
Note: Etched lines, in 1 mm increments, to facilitate bendingand placement.
Cautions: – Confirm that plate positioning and screw length allow for
adequate clearance of nerves, tooth buds and/or toothroots, and the edge of the bone.
– Do not excessively bend the plates as it may produce internal stresses which may become the focal point foreventual breakage of the implant.
– Damage to developing tooth roots may result in dento-osseous ankylosis and localized dentoalveolar growth impairment.7
Synthes 13
7. Wolford, LM, et. al.
Surgical Technique
14 Synthes MatrixORTHOGNATHIC Plating System Technique Guide
�
4Fixate plate to the bone
Select the appropriate 1.4 mm diameter drill bit length toallow for the adequate clearance of nerves, tooth budsand/or tooth roots. Insert the appropriate length 1.85 mmMatrix Screws to fixate the plate to the underlying bone.
Cautions: – Drill rate should never exceed 1800 RPM. Higher rates can
result in thermal generated necrosis of the bone and anoversized hole to be drilled. The detriments of an over-sized hole include reduced pullout force, increased ease of screws stripping in bone, and/or suboptimal fixation. Always irrigate during drilling.
– The 1.55 diameter MatrixMIDFACE Screw is notrecommended for sagittal split fixation.
Note: Use at least two screws on each side of the osteotomyto achieve stable fixation.
2Select and form the bending template (optional)
Instruments
03.511.377 – Bending Template for Sagittal Split Plate,03.511.378 with adjustable slider
Select the appropriate length of bending template accordingto the plate selection and form it to the bony anatomy.
Synthes 15
1Select plate design
After the sagittal split osteotomy, adjust the occlusion and thejoint bearing segment, and stabilize by intermaxillary fixation.
Select the appropriate Sagittal Split Plate with AdjustableSlider that best suits the bony anatomy, treatment objective,and the quanity and quality of bone.
Sagittal Split Plate with Adjustable Slider (optional)
16 Synthes MatrixORTHOGNATHIC Plating System Technique Guide
3Adapt plate to the bone
Contour the plate according to the bending template andbony anatomy using the bending pliers (03.503.038). Bendthe plate between the holes as necessary. Ensure the plate ispassively adapted to the bone.
Notes: – Etched lines, in 1 mm increments, provide a visual guide
for bending.– Since the slider will not slide in the contoured section, the
plate should be contoured as far proximally as possible.
Cautions: – Confirm that plate position, drill bit length, and screw
length allow for adequate clearance of nerves, tooth budsand/or tooth roots, and the edge of the bone.
– Do not excessively bend the plates as it may produce internal stresses which may become the focal point foreventual breakage of the implant.
– Damage to developing tooth roots may result in dento-osseous ankylosis and localized dentoalveolar growth impairment.8
8. Wolford, LM, et. al.
Surgical Technique
Synthes 17
4Primary plate fixation
Select the appropriate 1.4 mm drill bit length to allow for theadequate clearance of nerves, tooth buds and/or tooth roots.
Fixate the Sagittal Split Plate with Adjustable Slider to thebone by drilling and inserting the proper length 1.85 mm Matrix Screws in the specified sequence as shown (1–3) (Figure 1). Screws should be placed monocortically.
Cautions: – Confirm that plate positioning, drill bit length, and screw
length allow for adequate clearance of nerves, tooth budsand/or tooth roots, and the edge of the bone.
– Drill rate should never exceed 1800 RPM. Higher rates canresult in thermal generated necrosis of the bone and anoversized hole to be drilled. The detriments of an over-sized hole include reduced pullout force, increased ease of screws stripping in bone, and/or suboptimal fixation. Always irrigate during drilling.
Figure 1
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5Operative correction of occlusion
Release the intermaxillary fixation and inspect the occlusion.If the occlusion needs adjustment, loosen the screw (3) in the slider plate (Figure 2).
The distal bone segment can now be shifted horizontally and vertically until the occlusion has been corrected.
Retighten the screw (3) in the slider.
The process can be repeated if necessary.
Note: Ensure the desired condylar positioning has beenachieved.
18 Synthes MatrixORTHOGNATHIC Plating System Technique Guide
Figure 2
�
Surgical Technique
Synthes 19
6Final plate fixation
Using the 1.4 mm diameter drill bit to drill, insert the remain-ing proper length 1.85 mm Matrix Screws in holes (4) and (5)(Figure 3).
Remove the screw (3) and the slider plate component. Ensurefixation of the mandible is adequate to withstand the sagittalforces.
Cautions: – Drill rate should never exceed 1800 RPM. Higher rates can
result in thermal generated necrosis of the bone and anoversized hole to be drilled. The detriments of an over-sized hole include reduced pullout force, increased ease of screws stripping in bone, and/or suboptimal fixation. Always irrigate during drilling.
– The slider is strictly for intraoperative use only; do notleave in-situ.
– Previous changes in the tempromandibular joint may affect surgical outcome.
Note: Use two screws on each side of the osteotomy toachieve stable fixation.
���
Figure 3
2Adapt plate to bone
Instrument
03.503.038 Plate Bender for Midface Plates (2 required)
Contour the selected plate to the bone, using the plate benders. Bend the plate between the holes as necessary. Ensure the plate is passively adapted to the bone.
Notes: – Do not alter the bend in the pre-bent plates to achieve
more than a 1 mm adjustment in either direction.– The etched centerline helps with plate alignment on the
bone.
Cautions: – Confirm that plate positioning, drill bit length, and screw
length allow adequate clearance of nerves, tooth budsand/or tooth roots, and the edge of the bone.
– Damage to developing tooth roots may result in dento-osseous ankylosis and localized dentoalveolar growth impairment.9
– Do not excessively bend the plate as it may produce internal stresses which may become the focal point foreventual breakage of the implant.
-Surgical Technique
1Select plate design
After the osteotomy has been performed and the advance-ment of the distal segment has been established, select theplate design that best suits the bony anatomy, treatment objective, and the quanity and quality of the bone.
The chin plates are available in 4 mm to 10 mm offsets.
20 Synthes MatrixORTHOGNATHIC Plating System Technique Guide
Genioplasty Fixation
9. Wolford, LM, et. al.
Synthes 21
3Fix plate to bone
Use a 1.4 mm drill bit to drill, and insert the proper length 1.85 mm diameter Matrix screws to fixate the plate to the bone.
Cautions: – Confirm that plate positioning, drill bit length, and screw
length allow for adequate clearance of nerves, tooth budsand/or tooth roots, and the edge of the bone.
– Drill rate should never exceed 1800 RPM. Higher rates canresult in thermal generated necrosis of the bone and anoversized hole to be drilled. The detriments of an over-sized hole include reduced pullout force, increased ease of screws stripping in bone, and/or suboptimal fixation. Always irrigate during drilling.
Note: Use at least two screws on each side of the osteotomyto achieve stable fixation.
22 Synthes MatrixORTHOGNATHIC Plating System Technique Guide
Implants
Titanium MatrixORTHOGNATHIC Screws
1.85 mm Self-tapping Screws (5/pkg.)Length (mm)
04.511.204.05 4
04.511.205.05 5
04.511.206.05 6
04.511.208.05 8
04.511.210.05 10, coarse pitch
04.511.212.05 12, coarse pitch
04.511.214.05 14, coarse pitch
04.511.216.05 16, coarse pitch
04.511.218.05 18, coarse pitch
1.85 mm Self-drilling Screws (5/pkg.)Length (mm)
04.511.224.05 4
04.511.225.05 5
04.511.226.05 6
04.511.228.05 8
2.1 mm Emergency Screws, self-tapping (5/pkg.)Length (mm)
04.511.234.05 4
04.511.235.05 5
04.511.236.05 6
04.511.238.05 8
04.511.240.05 10, coarse pitch
04.511.242.05 12, coarse pitch
04.511.244.05 14, coarse pitch
04.511.246.05 16, coarse pitch
04.511.248.05 18, coarse pitch
Note: Screws are made of titanium alloy (Ti-6Al-7Nb).Plates are made of commercially pure titanium.
For single-pack screws, change .05 to .01 at end of product number.
Synthes 23
Titanium MatrixORTHOGNATHIC Plates
90° L-Plates, 2 x 2 holes, reversibleType Bar length (mm) Thickness (mm)
04.511.301 short 2 0.5
04.511.302 medium 6 0.5
04.511.303 long 11 0.5
04.511.304 short 2 0.7
04.511.305 medium 6 0.7
04.511.306 long 11 0.7
04.511.307 short 2 0.8
04.511.308 medium 6 0.8
04.511.309 long 11 0.8
Oblique L-Plates, 3 x 3 holes, reversibleType Bar length (mm) Thickness (mm)
04.511.321 short 4 0.5
04.511.322 medium 8 0.5
04.511.323 long 13 0.5
04.511.324 short 4 0.7
04.511.325 medium 8 0.7
04.511.326 long 13 0.7
04.511.327 short 4 0.8
04.511.328 medium 8 0.8
04.511.329 long 13 0.8
Oblique L-Plates, 3 x 4 holes, reversibleType Bar length (mm) Thickness (mm)
04.511.331 short 4 0.5
04.511.332 medium 8 0.5
04.511.334 short 4 0.7
04.511.335 medium 8 0.7
24 Synthes MatrixORTHOGNATHIC Plating System Technique Guide
Implants
Anatomic L-Plates, 3 x 3 holes, reversible
Type Bar length (mm) Thickness (mm)
04.511.341 short 4 0.5
04.511.342 medium 8 0.5
04.511.343 long 12 0.5
04.511.344 short 4 0.7
04.511.345 medium 8 0.7
04.511.346 long 12 0.7
04.511.347 short 4 0.8
04.511.348 medium 8 0.8
04.511.349 long 12 0.8
I-Plates, 4 holesThickness (mm)
04.511.350 0.5
04.511.370 0.7
Pre-bent Maxillary Plates, 0.8 mm thickAdvancement (mm)
04.511.381 left 2
04.511.382 right 2
04.511.383 left 4
04.511.384 right 4
04.511.385 left 6
04.511.386 right 6
04.511.387 left 8
04.511.388 right 8
04.511.389 left 10
04.511.390 right 10
Adaption Plates, 20 holesThickness (mm)
04.503.346 0.5 mm
04.503.376 0.7 mm
04.503.396 0.8 mm
Synthes 25
Curved Sagittal Split Plates, 6 holes, 1.0 mm thickBar (mm)
04.511.401 6
04.511.402 8
04.511.403 10
04.511.404 12
Straight Sagittal Split Plates, 4 holes, 1.0 mm thickBar (mm)
04.511.421 6
04.511.422 8
04.511.423 10
04.511.424 12
Sagittal Split Plates with Adjustable Slider, 4 holes, 0.7 mm thick
Length (mm)
04.511.444 33
04.511.445 40
Chin Plates with Double Bend, 5 holes, 0.7 mm thickOffset (mm)
04.511.461 4
04.511.462 6
04.511.463 8
04.511.464 10
26 Synthes MatrixORTHOGNATHIC Plating System Technique Guide
Selected MatrixORTHOGNATHIC Instruments
03.503.034 Mini Plate Holder, long
03.503.035 In-Plane Plate Bender
03.503.038 Plate Bender for Midface Plates (2 required)
03.503.039 Plate Cutter for Midface Plates
Matrix 1.4 mm Drill Bits, J-latch03.511.244 44.5 mm length, 4 mm stop03.511.246 44.5 mm length, 6 mm stop03.511.248 44.5 mm length, 8 mm stop03.511.252 44.5 mm length, 12 mm stop03.511.310 80 mm length 03.511.320 110 mm length 03.511.330 125 mm length
Synthes 27
03.511.003 Plate Holder for Reversible Matrix Plates
MatrixMIDFACE Screwdriver Blades, self-retaining, hex coupling
03.503.201 52 mm03.503.202 76 mm03.503.203 96 mm
Selected MatrixORTHOGNATHIC Instruments
28 Synthes MatrixORTHOGNATHIC Plating System Technique Guide
Screwdriver Handles, with hex coupling311.005 Small311.006 Medium311.007 Large
311.023 Ratcheting Screwdriver Handle
03.511.004 Screwdriver Handle with hex coupling,locking, medium
03.511.009 MatrixORTHOGNATHIC Trocar Drill Guidefor 397.213
03.511.340 Matrix 1.4 mm Drill Bit, J-latchCalibrated for 03.511.009
Synthes 29
Trocar System
397.43 2.0 mm Cheek Retractor Ring
397.213 2.0 mm Cannula and Obturator
397.211 Universal Trocar Handle
397.42 2.0 mm Cheek Retractor Blade
397.232 Malleable C-Retractor
30 Synthes MatrixORTHOGNATHIC Plating System Technique Guide
Maxillary Module Assembly60.511.008 Maxillary Generic Module (with lid)60.511.009 Maxillary Module Lid
60.511.006 Screw, Drill Bit, Blade Insert, with Recessed Holes
60.511.007* Screw, Drill Bit, Blade Insert, with no Recessed Holes
60.511.011 Pre-bent Plate Insert
60.511.012 90° and Oblique L-Plate Insert
60.511.013 Anatomic L and Adaption Plate Insert
Modules and Accessories
* Also available
Synthes 31
Mandible Module Assembly60.511.003 Mandible Generic Module (with lid)60.511.004 Mandible Module Lid
60.511.005 Sagittal Split Plate Insert
60.511.006 Screw, Drill Bit, Blade Insert, with Recessed Holes
60.511.007* Screw, Drill Bit, Blade Insert, with no Recessed Holes
60.511.010 Chin Plate Insert
Instrument Tray60.511.014 Instrument Tray60.511.015 Trocar Instrument Insert
* Also available
32 Synthes MatrixORTHOGNATHIC Plating System Technique Guide
Set01.503.514 MatrixORTHOGNATHIC Plating System Set
Graphic Case and Modules60.511.001 Graphic Case (with lid)60.511.002 Graphic Case Lid60.511.003 Mandible Generic Module (with lid)60.511.004 Mandible Module Lid60.511.005 Sagittal Split Plate Insert60.511.006 Screw, Drill Bit, Blade Insert with
Recessed Holes60.511.008 Maxillary Generic Module (with lid)60.511.009 Maxillary Module Lid60.511.010 Chin Plate Insert60.511.011 Pre-bent Plate Insert60.511.012 90° and Oblique L-Plate Insert60.511.013 Anatomic L and Adaption Plate Insert60.611.014 Instrument Tray60.511.015 Trocar Instrument Insert
Label Sheets and Screw Length MarkersLabel Sheets
60.511.016 For Maxillary Module60.511.017 For Mandible Module60.511.018 For Instrument Tray60.511.019 For Screw Length Color Chart60.511.020 For MatrixMIDFACE and
MatrixORTHOGNATHIC Strength Gradients
Screw Length Markers, for self-drilling screws (1/pkg.)
304.104W 4 mm304.105W 5 mm304.106W 6 mm304.108W 8 mm
Screw Length Markers, for self-tapping screws (10/pkg.)
304.104 4 mm 304.112 12 mm304.105 5 mm 304.114 14 mm304.106 6 mm 304.116 16 mm304.108 8 mm 304.118 18 mm304.110 10 mm
Also Available60.511.007 Screw, Drill Bit, Blade Insert, with
no Recessed Holes
MatrixORTHOGNATHIC Plating System
Synthes 33
Titanium MatrixORTHOGNATHIC Plates90° L-Plates, 2 x 2 holes, reversible
04.511.301 Short, 0.5 mm thick04.511.302 Medium, 0.5 mm thick04.511.303 Long, 0.5 mm thick04.511.304 Short, 0.7 mm thick04.511.305 Medium, 0.7 mm thick04.511.306 Long, 0.7 mm thick04.511.307 Short, 0.8 mm thick04.511.308 Medium, 0.8 mm thick04.511.309 Long, 0.8 mm thick
Oblique L-Plates, 3 x 3 holes, reversible04.511.321 Short, 0.5 mm thick04.511.322 Medium, 0.5 mm thick04.511.323 Long, 0.5 mm thick04.511.324 Short, 0.7 mm thick04.511.325 Medium, 0.7 mm thick04.511.326 Long, 0.7 mm thick04.511.327 Short, 0.8 mm thick04.511.328 Medium, 0.8 mm thick04.511.329 Long, 0.8 mm thick
Oblique L-Plates, 3 x 4 holes, reversible04.511.331 Short, 0.5 mm thick04.511.332 Medium, 0.5 mm thick04.511.334 Short, 0.7 mm thick04.511.335 Medium, 0.7 mm thick
Anatomic L-Plates, 3 x 3 holes, reversible04.511.341 Short, 0.5 mm thick04.511.342 Medium, 0.5 mm thick04.511.343 Long, 0.5 mm thick04.511.344 Short, 0.7 mm thick04.511.345 Medium, 0.7 mm thick04.511.346 Long, 0.7 mm thick04.511.347 Short, 0.8 mm thick04.511.348 Medium, 0.8 mm thick04.511.349 Long, 0.8 mm thick
I-Plates, 4 holes04.511.350 0.5 mm thick04.511.370 0.7 mm thick
Note: For single-pack screws, change .05 to .01 at end of product number.
Titanium MatrixORTHOGNATHIC Screws1.85 mm Screws, self-tapping (5/pkg.)
04.511.204.05 4 mm04.511.205.05 5 mm04.511.206.05 6 mm04.511.208.05 8 mm04.511.210.05 10 mm, coarse pitch04.511.212.05 12 mm, coarse pitch04.511.214.05 14 mm, coarse pitch04.511.216.05 16 mm, coarse pitch04.511.218.05 18 mm, coarse pitch
1.85 mm Screws, self-drilling (5/pkg.)04.511.224.05 4 mm04.511.225.05 5 mm04.511.226.05 6 mm04.511.228.05 8 mm
2.1 mm Screws, self-tapping (5/pkg.)04.511.234.05 4 mm04.511.235.05 5 mm04.511.236.05 6 mm04.511.238.05 8 mm04.511.240.05 10 mm, coarse pitch04.511.242.05 12 mm, coarse pitch04.511.244.05 14 mm, coarse pitch04.511.246.05 16 mm, coarse pitch04.511.248.05 18 mm, coarse pitch
MatrixORTHOGNATHIC Plating System
34 Synthes MatrixORTHOGNATHIC Plating System Technique Guide
Pre-bent Maxillary Plates, 0.8 mm thick04.511.381 2 mm advancement, left04.511.382 2 mm advancement, right04.511.383 4 mm advancement, left04.511.384 4 mm advancement, right04.511.385 6 mm advancement, left04.511.386 6 mm advancement, right04.511.387 8 mm advancement, left04.511.388 8 mm advancement, right04.511.389 10 mm advancement, left04.511.390 10 mm advancement, right
Curved Sagittal Split Plates, 6 holes,1.0 mm thick
04.511.401 6 mm bar04.511.402 8 mm bar04.511.403 10 mm bar04.511.404 12 mm bar
Straight Sagittal Split Plates, 4 holes, 1.0 mm thick
04.511.421 6 mm bar04.511.422 8 mm bar04.511.423 10 mm bar04.511.424 12 mm bar
Sagittal Split Plates with Adjustable Slider,4 holes, 0.7 mm thick
04.511.444 33 mm04.511.445 40 mm
Chin Plates with Double Bend, 5 holes, 0.7 mm thick
04.511.461 4 mm offset04.511.462 6 mm offset04.511.463 8 mm offset04.511.464 10 mm offset
Titanium MatrixMIDFACE PlatesAdaption Plates, 20 holes
04.503.346 0.5 mm thick04.503.376 0.7 mm thick04.503.396 0.8 mm thick
InstrumentsScrewdriver Handles with hex coupling
311.005 Small311.006 Medium311.007 Large311.023 Ratcheting Screwdriver Handle,
hex coupling03.511.004 Locking, medium
MatrixMIDFACE Screwdriver Blades, self-retaining, hex coupling
03.503.201 52 mm03.503.202 76 mm03.503.203 96 mm
03.503.034 Mini Plate Holder, long03.511.003 Plate Holder for Reversible Matrix Plates03.503.035 In-Plane Bender03.503.038 Plate Bender (2 required)03.503.039 Plate Cutter347.98 Plate Holding Forceps
Matrix 1.4 mm Drill Bits, Stryker J-latch
03.511.244 44.5 mm, 4 mm stop03.511.246 44.5 mm, 6 mm stop03.511.248 44.5 mm, 8 mm stop03.511.252 44.5 mm, 12 mm stop03.511.310 80 mm length03.511.320 110 mm length03.511.330 125 mm length
Trocar System03.511.340 1.4 mm Calibrated Drill Bit, J-latch 397.211 Universal Trocar Handle397.213 2.0 mm Cannula and Obturator 03.511.009 MatrixORTHOGNATHIC Trocar Drill Guide 397.42 2.0 mm Cheek Retractor Blade397.43 2.0 mm Cheek Retractor Ring 397.232 Malleable C-Retractor03.503.036 MatrixMANDIBLE Depth Gauge
Synthes 35
Titanium MatrixMIDFACE Screws1.55 mm Titanium MatrixMIDFACE Screws,self-tapping (5/pkg.)
04.503.204.05 4 mm04.503.205.05 5 mm04.503.206.05 6 mm04.503.208.05 8 mm04.503.210.05 10 mm04.503.212.05 12 mm04.503.214.05 14 mm04.503.216.05 16 mm 04.503.218.05 18 mm
1.55 mm Titanium MatrixMIDFACE Screws,self-drilling (5/pkg.)
04.503.224.05 4 mm04.503.225.05 5 mm04.503.226.05 6 mm04.503.228.05 8 mm
*Bending templates cannot be used as drill guides.
Also AvailableMatrix 1.4 mm Drill Bits
03.511.342 Universal Trocar Drill Bit, quick coupling,Calibrated, (8 – 18 mm), 100 mm
03.511.343 Basic Trocar Drill Bit, J-latch, calibrated,125 mm
Bending Templates, 0.5 mm thick*03.503.366 For Adaption Plate, 20 holes03.511.360 For Reversible Anatomic L-Plate, short03.511.361 For Reversible Anatomic L-Plate, medium03.511.362 For Reversible Anatomic L-Plate, long03.511.363 For Reversible Oblique L-Plate, short03.511.364 For Reversible Oblique L-Plate, medium03.511.365 For Reversible Oblique L-Plate, long03.511.366 For Reversible 90° L-Plate, short03.511.367 For Reversible 90° L-Plate, medium03.511.368 For Reversible 90° L-Plate, long03.511.369 For Curved Sagittal Split Plate, 6 mm bar03.511.370 For Curved Sagittal Split Plate, 8 mm bar03.511.371 For Curved Sagittal Split Plate, 10 mm bar03.511.372 For Curved Sagittal Split Plate, 12 mm bar03.511.373 For Straight Sagittal Split Plate, 6 mm bar03.511.374 For Straight Sagittal Split Plate, 8 mm bar03.511.375 For Straight Sagittal Split Plate, 10 mm bar03.511.376 For Straight Sagittal Split Plate, 12 mm bar03.511.377 For Sagittal Split Plate with Slider, 33 mm03.511.378 For Sagittal Split Plate with Slider, 40 mm
1.5 mm Drill Bits, Stryker J-latch317.64 44.5 mm length, 4 mm stop317.66 44.5 mm length, 6 mm stop317.68 44.5 mm length, 8 mm stop317.72 44.5 mm length, 12 mm stop317.435 85 mm length, 60 mm stop317.835 110 mm length
Matrix 1.4 mm Drill Bits for 90° Screwdriver03.505.141 13 mm length, 6 mm stop03.505.144 15 mm length, 8 mm stop03.505.147 19 mm length, 12 mm stop03.505.165 21 mm length, 14 mm stop03.505.166 23 mm length, 16 mm stop03.505.167 25 mm length, 18 mm stop
68.505.060 Mini Module for MatrixORTHOGNATHIC, for 90° Screwdriver
36 Synthes MatrixORTHOGNATHIC Plating System Technique Guide
References
Müller, ME, M. Allgöwer, R. Schneider, H. Willenegger. Manualof Internal Fixation, 3rd edition. Berlin: Springer-Verlag. 1991.
Rüedi, TP, RE. Buckley, CG. Moren (2007). AO Principles ofFracture Management. 2nd expanded ed. 2002. Stuttgart,New York: Thieme.
Schendel, SA, LM. Wolford, BN. Epker (1976). “Surgical advancement of the mandible in growing children: Treatment results in twelve patients,” Journal of Oral Surgery, Volume 45, Number 3.
Wolford, LM, SC. Karras, P. Mehra. “Considerations for orthognathic surgery during growth, Part 2: Maxillary deformities,” American Journal of Orthodontics and Dentofacial Orthopedics, Volume 119, Number 2, February 2001.
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