RibLoc Rib Fracture Plating System

With the RibLoc® Rib Fracture Plating System, Acute Innovations® has designed a comprehensive system of implants and instruments specifically for repairing rib fractures. The plate’s unique U-shape with locking screw technology provides excellent fixation and allows a minimally invasive approach. The precise targeting and instrumentation provide straightforward insertion that reduces OR time.

Minimally Invasive

Minimally Invasive

The plates in the system are 4.5 cm in length and require a total of four screws for fixation. This reduces the incision size necessary and speeds up the procedure over traditional plating techniques.

Stable Fixation

Stable Fixation

The plate’s innovative U-shape and locking screws allows fixation to be independent of bone quality and/or screw purchase in the bone. The plate supports the fracture on three surfaces and avoids the neurovascular bundle on the inferior margin. This shorter U-shape construct has been shown to be biomechanically more stable compared to a longer anterior plate. [1]

Straightforward Technique

Straightforward Technique

The plates are available in three sizes to match the anterior/posterior thickness of the rib. Color coding of the plates, screws and instrumentation ensures that the correct length of screw is used for the rib. The innovative targeting guides aid the surgeon installing the plates in a straightforward, precise and repeatable manner. All of these features were carefully developed to save OR time.

RibLoc Diagram

Plates and screws are made from titanium and color coded for size.

Acute’s Rib Fracture Plating System is designed to provide stable fixation that is minimally invasive for acute fractures, non-unions and osteotomies of the rib.

Most rib fractures are treated conservatively using pain management and/or bracing techniques. Some patients with severe fractures, or non-unions, could benefit from a minimally invasive procedure. Acute has developed a system, that provides stable fixation and a quick and straightforward technique.

Plating, intramedullary pins, wiring, suture, struts and staples have all been used with mixed results and no clear standard of care. Stabilizing rib fractures has been challenging for the following reasons:

  • Large incisions are needed to accommodate fixation, which leads to a more morbid procedure
  • Ribs are narrow with a thin cortex that surrounds soft marrow, making reliable fixation problematic
  • Fixation must endure upwards of 25,000 breathing cycles per day, including coughing
  • Risk of damage to the neurovascular bundle

* Rib Fracture Plating System - Great Britain patent: GB2423935 - other patents pending







Other Patents Pending
  1. J. Rafe Sales, MD1, Thomas J. Ellis, MD1, Joel Gillard, BS, Qi Liu, MS, Joyce Chen, MD,Bruce Ham, MD, FACS, & John C. Mayberry, MD, FACS. Biomechanical Testing of a Novel, Minimally Invasive Rib Fracture Plating System. Journal of Trauma 2008: 64(5) 1270-1274