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Distractors and Fixators

With numerous innovative and revolutionary distraction systems, KLS Martin has made a major contribution to establishing this technique in craniomaxillofacial surgery for use in operating rooms all over the world. There is hardly any craniomaxillofacial problem to which we have not responded by designing a special distractor to solve it.

We go beyond with new, innovative product details. We're helping to improve patient comfort, improve clinical safety and enable users to master even the most complex challenges.

Our distractors

Cranium

Kawamoto Distractors

Devices for use in correction of craniofacial malformations

Common Uses:

The Kawamoto Midface Distractor is suitable for internal distraction when treating craniofacial dysplasia, especially craniofacial synostoses. It is used for patients requiring facial advancement (Le Fort III) or frontofacial (monobloc) advancement.

Features:

  • Distraction length: 30 mm
  • Distraction length/turn: 0.5 mm
  • To be fixed with 1.5 mm screws
     

Benefits:

  • Available in different versions to perfectly fit a variety of patient anatomy

  • Symmetrical design, usable on patient´s right and left side

  • Swivel joint footplate  allows compensation of any occurring forces when the force vector changes

  • Interchangeable activator concept

 

Posterior Cranial Vault Distractors 

Devices for use in correction of craniofacial malformations

Common Uses:

The Cranial Vault Distractor is used for treating cranial malformations such as syndromic craniosynostosis and congenital deficiencies.

Features:

  • Distraction length: 30 mm, 40 mm, 50 mm
  • Distraction length/turn: 0.3mm / 0.5 mm
  • To be fixed with 1.5 mm screws
     

Benefits:

  • Symmetrical design, usable on patient´s right and left side

  • Anti-relapse ratchet prevents backward rotation

  • Hooks fitted to the osteosynthesis plates distribute distraction force to the bone

  • Interchangeable activator concept

  • Dual ball joints allow for better fit to the curved skull and flexibility in placement and distraction

 

Midface

Zurich Maxillary Distractors

Devices for use in correction of craniomaxillofacial malformations

Common Uses:

The Zurich Maxillary Distractor is suitable for distracting the maxilla in cases of congenital or acquired malformation, deficits and hypoplasia.

Features:

  • Distraction length: 15 mm, 20 mm
  • Distraction length/turn: 0.5 mm
  • To be fixed with 1.5 mm screws
     

Benefits:

  • Available in different activator designs
  • Low profile tube allows for easier insertion

Adjustable Maxillary Distractors

Devices for use in correction of craniomaxillofacial malformations

Common Uses:

The Adjustable Maxillary Distractor is used for internal distraction of the maxilla, especially for 

  • Patients with maxillary malformation (dysplasia), in particular retrognathia (maxillary retrusion) or hypoplasia (three-dimensional underdevelopment)

  • Cleft palate patients requiring maxillary advancement
     

Features:  

  • Distraction length: 20 mm
  • Distraction length/turn: 0.5 mm
  • To be fixed with 1.5 mm screws
  • Vertical arm lengths: 19, 22 mm

Benefits:

  • Available in different versions to perfectly fit a variety of patient anatomy
  • Distraction vector can be adjusted during the distraction process
  • Distractor can be fixed to acrylic splint, to metal splint or to bone
  • Symmetrical design, usable on patient´s right and left side 
  • Interchangeable activator concept

Maxillary Telescopic Distractors

Devices for use in correction of craniomaxillofacial malformations

Common Uses:

The "Maxillary Telescopic" distractor is suitable for distraction of the maxilla, where gradual bone elongation is necessary, especially as a result of congenital and acquired malformations, deficits and hypoplasia.

Features:

  • Distraction length: 30 mm
  • Distraction length/turn: 0.35 mm 
  • To be fixed with 1.5 mm screws
     

Benefits:

  • The design allows maximum distraction length with minimum initial space requirements, as the distractor achieves its full extent only at the end of the distraction phase 

  • Symmetrical design, usable on patient´s right and left side 
  • Interchangeable activator concept

Liou Cleft Distractors

Devices for use in correction of craniomaxillofacial malformations

Common Uses:

The Liou Cleft Transport Distractor is suitable for horizontal transport distraction of the maxillary alveolar ridge. The distractor enables segments to be transported unidirectionally for reconstruction of continuity defects, especially in the following cases: 

  • congenital alveolar clefts in cleft patients 
  • defects caused by removal of congenital or acquired alveolar crest fistulas and cysts 

  • congenital or acquired alveolar ridge deficiencies/defects
     

Features:

  • Distraction length: 20 mm
  • Distraction length/turn: 0.3 mm 
  • To be fixed with 1.5 mm screws
     

Benefits:

  • Possibility of extramucosal placement due to long plates

TRACK Distractors

Devices for distraction of the alveolar ridge

Common Uses:

  • Partial defects of the mandibular and maxillar alveolar crest
  • Periodontal diseases with severe localized bone loss
  • Localized atrophy of the alveolar crest
     

Features:

  • Distraction length: 9 mm, 10 mm, 12 mm, 15 mm
  • Distraction length/turn: 0.3 mm, 0.5 mm 
  • To be fixed with 1.0 mm / 1.5 mm screws
     

Benefits:

  • Available in different designs to treat all kind of alveolar defects 
  • Vector stabilizing plate to prevent tilting of the distractor body

Rotterdam Palatal Distractors (RPD)

Devices for transverse palatinal distraction 

Common Uses:

  • Extreme transversal, unilateral or bilateral maxilla crowdings in syndrome and non-syndrome patients

  • Anterior tooth crowdings and buccal corridors (dead spaces)

Features:

  • Distraction length: 19 mm
  • Distraction length/turn: The Rotterdam Palatal Distractor works mechanically like a scissor-type jack, so the distraction length per turn decreases the higher the number of turns   

  • No screws needed

Benefits:

  • Due to the scissor-type jack design, minimum initial space is required

Rapid Palatal Expander (RPE)

Devices for transverse palatinal distraction

Common Uses: 

  • Transverse uni- or bilateral maxillary hypoplasia in syndromal and non-syndromal patients

  • Anterior dental crowding and buccal corridors

Features:

  • Distraction length: 9 mm, 18 mm, 27 mm
  • Distraction length/turn up to the next color code: 0.33 mm 
  • To be fixed with 2.0 mm screws

Benefits:

  • Color coded according to distraction length
  • Templates available for correct choice of distractor size
  • Bone borne footplates translate distraction forces directly into the bone as opposed to the teeth, which may be prone to tipping

RED II Distractor

External device for use in correction of craniomaxillofacial malformations

Common Uses:

Severe midface hypoplasia due to :

  • Severe transversal, vertical and / or horizontal deficits in the midface
  • Late sequelae of cheilognathopalatoschisis (clefts), especially in conjunction with velopharyngoplasties and also with hypodontia 

  • Syndromes (e.g. Apert’s or Crouzon’s syndrome) 
  • Maxillary retrognathia and atrophy
  • Obstructive sleep apnea

Features:

  • Distraction length: unlimited
  • Distraction length/turn: 0.5 mm 
  • To be fixed to the bone with pins

Benefits:

  • Completely adjustable for any midfacial hypoplasia patient (Possibility to perform Le-Fort-I, II, III and monobloc distraction procedures)

  • Force application only on the affected treatment region
  • Unlimited distraction distances
     

Kawamoto Distractors

Devices for use in correction of craniofacial malformations

Common Uses:

The Kawamoto Midface Distractor is suitable for internal distraction when treating craniofacial dysplasia, especially craniofacial synostoses. It is used for patients requiring facial advancement (Le Fort III) or frontofacial (monobloc) advancement.

Features:

  • Distraction length: 30 mm
  • Distraction length/turn: 0.5 mm
  • To be fixed with 1.5 mm screws

Benefits:

  • Available in 3 different versions for a perfect fit to every patient´s anatomy

  • Symmetrical design, usable on patient´s right and left side 

  • Swivel joint footplate  allows compensation of any occurring forces when the force vector changes

  • Interchangeable activator concept

Mandible

HyperDrive™ Distractors

Devices for use in correction of mandibular malformations 

Common Uses:

  • Upper airway obstructed patients
  • Severe mandibular hypoplasia
  • Patients with Pierre Robin Sequence Nager Syndrome, Treacher-Collins Syndrome or micrognathia

Features:

  • Distraction length: 20 mm, 30 mm
  • Distraction length/turn: 1.0 mm 
  • To be fixed with 1.0 mm / 1.5 mm screws

Benefits:

  • Telescoping body allows for greater distraction capability per mm of initial length.

  • For instance, a 30 mm HyperDrive starts shorter than a traditional 20 mm distractor.

  • Lowest profile mandibular telescoping distractor on the market

  • Enclosed gearing to limit soft tissue interference

  • Anti-relapse ratchet

  • The distance per turn is a simple and easy to remember 1 mm per complete rotation

Zurich II Distractors

Devices for use in correction of mandibular malformations 

Common Uses:

  • Congenital malformation 
  • Acquired mandibular hypoplasia

Features:

  • Distraction length: 15 mm, 20 mm, 25 mm, 30 mm
  • Distraction length/turn: 0.5 mm 
  • To be fixed with: 1.5 mm screws

Benefits:

  • Symmetrical design, usable on patient´s right and left side 
  • Anti-relapse ratchet prevents backward rotation 
  • Interchangeable activator concept

Micro Zurich II Distractors

Common Uses:

  • In patients under two years of age:
    • Upper airway obstructed patients
    • Severe mandibular hypoplasia
    • Patients with Pierre Robin Sequence Nager Syndrome, Treacher-Collins Syndrome or micrognathia

Features:

  • Distraction length: 15 mm, 20 mm, 25 mm, 30 mm
  • Distraction length/turn: 0.3 mm, 0.5 mm, 0.6 mm
  • To be fixed with: 1.0 mm/1.5 mm screws
  • Unmatched selection of footplates and styles
  • Low profile body

Benefits:

  • Symmetrical design, usable on patient´s right and left side 
  • Anti-relapse ratchet prevents backward rotation 
  • Interchangeable activator concept

TRACK Distractors

Devices for distraction of the alveolar ridge

Common Uses:

  • Partial defects of the mandibular and maxillar alveolar crest 
  • Periodontal diseases with severe localized bone loss 
  • Localized atrophy of the alveolar crest

Features:

  • Distraction length: 9 mm, 10 mm, 12 mm, 15 mm
  • Distraction length/turn: 0.3 mm, 0.5 mm 
  • To be fixed with 1.0 mm / 1.5 mm screws

Benefits:

  • Available in different designs to treat all kind of alveolar defects 
  • Vector stabilizing plate to prevent tilting of the distractor body

Ramus Transport Distractors

Devices for transport distraction of the condylar head

Common Uses:

  • Reconstruction of the mandibular condyle 
  • Congenital malformation 
  • Acquired mandibular hypoplasia

Features:

  • Distraction length: 20 mm, 25 mm, 30 mm
  • Distraction length/turn: 0.5 mm 
  • To be fixed with 1.5 mm screws

Benefits:

  • Symmetrical design, usable on patient´s right and left side 
  • Interchangeable activator concept
  • A special retention plate is optionally available for increased patient convenience during the consolidation phase

ThreadLock Transport Distractors

Devices for mandibular transport distraction

Common Uses:

The ThreadLock transport distractor is an intraoral system which allows segment transport, enabling reconstruction of continuity defects in the mandible. 

The distraction system is used for the following defects: 

  • Mandibular continuity defects caused by trauma or resection 
  • Mandibular defects caused by tumors (after hyperbaric oxygen therapy and completed radiation)

Features:

  • Distraction length: 40 mm, 50 mm
  • Distraction length/turn: 0.5 mm 
  • To be fixed with 1.5 mm screws

Benefits:

  • Enables reconstruction of big defects
  • Symmetrical design, usable on patient´s right and left side 
  • Interchangeable activator concept

Herford Transport Distractors

Devices for mandibular transport distraction

Common Uses:

The Herford transport distractor is an intraoral system which allows segment transport, enabling reconstruction of continuity defects in the mandible. Since the distractor has a swivel joint connection to the reconstruction plate it is particularly suitable for bone transports in a curved motion, but maximally up to the central line (symphysis). 

The distraction system is suitable for the primary reconstruction of the following defects: 

  • Mandibular continuity defects caused by trauma or resection 
  • Mandibular defects caused by tumors (after hyperbaric oxygen therapy and completed radiation)

Features:

  • Distraction length: 50 mm
  • Distraction length/turn: 0.5 mm 
  • To be fixed with 1.5 mm screws

Benefits:

  • Enables reconstruction of large defects
  • Symmetrical design, usable on patient´s right and left side 
  • Interchangeable activator concept

3D Xternal Distractor

External device for use in correction of mandibular malformations

Common Uses:

  • Mandibular distraction osteogenesis in cases of congenital deficiencies, such as unilateral and lateral micrognathia 

  • Syndrome patients, such as Pierre Robin or Goldenhar cases 
  • Posttraumatic bone stabilization and bone lengthening 
  • Potential for external multi-vector transport distraction osteogenesis

Features:

  • Distraction length: 15 mm, 25 mm, 35 mm, 50 mm, 65 mm, 85 mm
  • Distraction length/turn: 0.5 mm 
  • To be fixed to the bone with pins

Benefits:

  • Flexible and easy-to-adjust on all particular patient needs
  • 3-dimensional manipulation of bone segments and multiple vector control at any moment

  • Individual bone lengthening of the mandibular body and/or ramus with a single osteotomy

  • Combination of light weight, low profile and highest stability
  • Universal device can be used on patient's left or right side
  • Possibility to bridge and stabilize the distraction gap with a consolidation bar during consolidation period

Rotterdam Midline Distractors

Devices for transversal mandibular distraction

Common Uses:

The Rotterdam Midline Distractor is to be used for distraction osteogenesis of the mandibular symphysis in cases of severe crowding of the mandibular region and transversal mandibular deficits.

Features:

  • Distraction length: 10 mm, 15 mm
  • Distraction length/activation of 90°: 0.25 mm 
  • To be fixed with 2.0 mm screws

Benefits:

  • Compact distractor body for maximum patient comfort
  • Easy daily activation

 

X-Fix

Mandible External Fixation System

Common Uses:

The X-Fix external fixator is suitable to stabilize the mandible in selected clinical situations: 

  • Mandibular fractures 
  • Mandibular fractures associated with infections 
  • Severe comminuted fractures of the mandible 
  • Healing problems / non-unions 
  • Tumor resections 
  • Bullet injuries 
  • Fractures with severe soft-tissue impairment 
  • Fractures in radiation patients 
  • Panfacial fractures 
  • Burns 
  • Bone defects with bone grafts

Features:

  • Can be assembled in two unique configurations 
  • To be fixed to the bone with pins

Benefits:

  • Allows a simple, quick, and atraumatic handling
  • Pins available in different diameters and different thread lengths for a strong and stable fixation as well as an accommodation to various soft and bone thicknesses

  • Different rod designs allow best possible choice for each type of mandible fracture or defect

  • Anatomically pre-bent rods for best possible average fit
     

Cranio-Mandibular Fixator

Common Uses:

  • Bony ankylosis, either unilateral or bilateral
  • Comminuted intracapsular fractures of the condyle when there is:
    • Absence of the posterior occlusal stop preventing placement of a posterior open bite splint

    • Severe head trauma when the patient is non-responsive to therapy or intubated with a prolonged coma or head injury

Features:

  • Available in three sizes: small, normal, long
  • The articulating arm is fixed to the mandibular bone with pins
  • The temporal stabilizing plate is fixed with 2.0 mm screws

Benefits:

  • Intercapsular space is created and maintained
  • Facilitates the subsequent mobilization of the mandible

Orthognathics

Rotterdam Palatal Distractors (RPD)

Devices for transverse palatinal distraction 

Common Uses:

  • Extreme transversal, unilateral or bilateral maxilla crowdings in syndrome and non-syndrome patients

  • Anterior tooth crowdings and buccal corridors (dead spaces)

Features:

  • Distraction length: 19 mm
  • Distraction length/turn: The Rotterdam Palatal Distractor works mechanically like a scissor-type jack, so the distraction length per turn decreases the higher the number of turns   

  • No screws needed

Benefits:

  • Due to the scissor-type jack design, minimum initial space is required
  • Bone borne footplates translate distraction forces directly into the bone as opposed to the teeth, which may be prone to tipping

Rapid Palatal Expander (RPE)

Devices for transverse palatinal distraction

Common Uses: 

  • Transverse uni- or bilateral maxillary hypoplasia in syndromal and non-syndromal patients

  • Anterior dental crowding and buccal corridors

Features:

  • Distraction length: 9 mm, 18 mm, 27 mm
  • Distraction length/turn up to the next color code: 0.33 mm 
  • To be fixed with 2.0 mm screws

Benefits:

  • Color coded according to distraction length
  • Templates available for correct choice of distractor size
  • Bone borne footplates translate distraction forces directly into the bone as opposed to the teeth, which may be prone to tipping

Rotterdam Midline Distractors

Devices for transversal mandibular distraction

Common Uses:

The Rotterdam Midline Distractor is to be used for distraction osteogenesis of the mandibular symphysis in cases of severe crowding of the mandibular region and transversal mandibular deficits.

Features:

  • Distraction length: 10 mm, 15 mm
  • Distraction length/activation of 90°: 0.25 mm 
  • To be fixed with 2.0 mm screws

Benefits:

  • Activating wire is included in set

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