Resorbable Chest Wall
ACUTE Innovations® BioBridge Resorbable Chest Wall Stabilization Plate is a versatile, non-permanent solution specifically designed for fixation in the chest wall. It offers strength that exceeds typical chest wall loading and a resorption time that outlasts typical bone healing time. BioBridge is the only resorbable plate that was designed with the chest wall in mind.
Features & Benefits
The polylactide blend (70% L-lactide, 30% DL-lactide) of the plate offers strength that exceeds typical chest wall loading and a resorption time that outlasts typical bone healing time. The plate will maintains its full strength for 6 months and fully resorb within 18-24 months. Each of the 110mm long and 14mm wide BioBridge plates have 18 holes to accommodate multiple suture patterns. They are textured for easy handling and visibility and are individually sterile packed for immediate use.
Each BioBridge plate is flexible to be able to match the curvature of the rib. The plates are very versatile and may be stacked to add length and rigidity and can be trimmed to size for any application.
Indications for Use
In general, BioBridge is used for:
In the presence of appropriate additional immobilization or fixation, indicated for maintaining the alignment and fixation of bone fractures, osteotomies, arthrodeses or bone grafts.
Maintenance of relative position of weak bony tissue (e.g., bone grafts, bone graft substitutes, or bone fragments from comminuted fractures).
Trauma and reconstructive procedures.
Specifically, BioBridge can also be used on:
Metacarpus, proximal and middle phalangeal bones.
Long bones, flat bones, short bones, irregular bones, appendicular skeleton, and thorax.
Applications & Techniques
Chest Wall Reconstruction
BioBridge can be used for chest wall reconstruction which provides long-term chest wall stability through bone healing and/or soft tissue scarring. Indications can include chest wall tumors (benign and malignant), radiation necrosis, contiguous lung or breast cancer and lung/chest wall infections13, 14. More details can be found in “BioBridge Chest Wall Reconstruction” (see Resources or References).
BioBridge can be used as a non-permanent strut during modified Ravitch procedures instead of using suture alone. This technique provides stability through the timed support of the sternal repair with the goal of obtaining long-term stability through the natural healing of tissue and cartilage, thus preventing recurrence of the pectus deformity. More details can be found in “BioBridge Open Pectus Repair” (see Resources or References).
BioBridge is the ideal versatile, non-permanent solution for internal stabilization of an osteotomy or iatrogenic fracture during thoracotomy procedures. An osteotomy or accidental fracture of the ribs during thoracotomy has been associated with post thoracotomy pain5. Post Thoracotomy Pain Syndrome (PTPS) affects approximately 50% of patients, of which about 30% may still experience pain 4-5 years post-op.6 Preliminary results from a pilot study at George Washington University showed that using the BioBridge Plate after thoracotomy significantly reduced pain scores and narcotic use. More details can be found in the BioBridge brochure (see Resources).
Costochondral Junction Repair
Fractured cartilage caused by trauma or during thoracotomy are typically challenging to repair and require extended healing time. Immobilizing the fracture with stability and compression may help to reduce pain associated with movement, healing time and non-union formation. More details can be found in the BioBridge brochure (see Resources).