On the outside, I might not fit the typical Ortho stereotype, but on the inside, I share your deep irrational love for big pieces of metal that you use on small pieces of metal (or bone).
What I learned today
Like look at this thing, isn’t it fun?
This is a collinear1 reduction clamp made by Synthes (and only Synthes, as far as I can tell, but this is not #sponcon). It assists with “minimally invasive” reduction of long bone or pelvis fractures. You can attach different arms for a Hohmann-style, pelvis-specific, percutaneous (shown above), or bone-hook shape. When you squeeze the trigger, it advances a rod that incrementally reduces the fracture.
Jungbluth clamp
For all the sickos out there doing pelvises, this is a reduction clamp that attaches to screws placed on opposite sides of (& perpendicular to) a fracture.
It’s used for similar situations as a Farabeuf clamp. The Jungbluth requires a larger exposure; the Farabeuf jaws only have to fit around the screw heads. However, the Jungbluth may allow for better rotational control.
Articulated tension device
An ATD is used to help compress across a fracture, or it can be reversed to push the plate and regain length. It compresses by bringing together a plate (pre-bent and attached with at least one screw) and a screw outside the plate on the opposing side of the fracture. Pre-bending helps to avoid the fracture opening on the other cortex once tension is applied.
Since it’s Friday, I’ll leave you with this: lately, I’ve been obsessed with the song (WARNING: explicit) oops! by yung gravy (yeah it’s not that new, get over it) and I found out that his parents are/were a psychiatrist & psychologist at The Mayo Clinic. So it’s the Mayo connection… I knew there was an explanation.
Sources
DePuy Synthes Collinear Reduction Clamp
AO Surgery Reference ORIF - Pubic symphysis plate
AO Surgery Reference ORIF - Compression plating
Why are there 2 L’s? I tried to figure out if they meant co-linear or if Collinear is a person’s name, but it remains a mystery.