Trigen fan femoral antegrade nail and tan indications. Efficacy study of surgical technique in intramedullary. The first and only virtual realtime imaging system for distal locking, new technology that offers full surgeon control, a reduction in radiation exposure, and shorter procedures from im nailing. Surgical technique for the trigen humeral nail system using the trigen sureshot distal. Works seamlessly with the proven trigen nail family. Biomet, as the manufacturer of this device, does not practice medicine and. Examples of specific indications according to ao classification include type afractures, dislo. The first is to use the joysticks to extend and adduct the hu.
Faster time to fracture union 5,89, 17,20,2224,26,28. Uniflex humeral nail surgical technique zimmer biomet. Trigen humeral nailing includes a 16cm proximal straight nail, a 16cm proximal bent nail, and a full line of long bent nails. Proximal humerus fractures are the third most common fracture in the elderly. The expert humeral nail can be inserted into the humeral shaft in both antegrade and retrograde directions. Exactech prosthetic proximal humeral fracture repair surgical technique. When selecting the appropriate nail size take all aspects of the fracture into consideration. Trigen meta nail tibia trigen meta nail femur trigen knee nail retrograde femoral technique 3. Trigen intertan intertrochanteric antegrade nail smith. The trigen intertan intertrochanteric antegrade nail. High return to prefracture status 5,8,12,17,22,24,26,28. The optimal surgical treatment for displaced proximal humeral fractures continues to be controversial.
Cuny c, pfeffer f, irrazi m, chammas m, empereur f, berrichi a, metais p, beau p. Insafelock humeral nail provides a safe application for. The trigen hindfoot fusion nail hfn brings the simplified instrumentation of the trigen nail system to the hindfoot. Trigen humeral nail proximal and long trigen hindfoot nail. Sep 19, 2012 the first and only virtual realtime imaging system for distal locking, new technology that offers full surgeon control, a reduction in radiation exposure, and shorter procedures from im nailing. The trigen tan and fan intramedullary nails are indicated for fractures of the femur, including intertrochanteric, basitranscervicalfemoral neck fractures and subtrochanteric fractures, ipsilateral femoral neckshaft fractures,stable and unstable shaft fractures, segmentalfractures, nonunions and malunions. We described the technique of percutaneous antegrade nailing for humeral shaft fracture in a medialized insertion point at the apex of the humeral head through an anterior acromioclavicular approach to decrease nail insertion complications and shoulder pain with minimal incisions. Trigen hindfoot fusion nail design the trigen hindfoot fusion nail hfn brings the simplified instrumentation of the trigen nail system to the hindfoot. However, anatomic alignment of humeral proximal fractures depends upon the position of the entry site, the angle of the entry nail and the pathology of the humeral head fracture, if present. Based on data from more than twodozen published studies, the trigen intertan intertrochanteric antegrade nail allows patients to experience. For information on the use of blocking screws, refer to the trigen metanail tibial nail surgical technique 71181610.
Russelltaylor deltatibial interlocking nail technique 598 kb recon interlocking. The sureshot system is a realtime imaging system that works with trigen im nailing system and is a safe, convenient, and cost effective technology for fracture repair in the or. The t2 humeral nail offers multiple locking modes static, controlled dynamic and compression locking options to allow for ease of use and versatility in care. Proximal femoral nail medin basic operating procedure duration. The t2 proximal humeral nail is intended for single use only. The trigen tan and fan intramedullary nails are indicated for fractures of the femur, including intertrochanteric, basitranscervicalfemoral neck fractures and many more. The stryker t2 proximal humeral nail stryker, kalamazoo, mi, usa, for example, was designed to incorporate a number of features including. Download download trigen humeral nail surgical technique pdf writer read online read online trigen humeral nail surgical technique pdf writer official fulltext paper pdf. An insafelock humeral nail was used for each right humerus and a trigen humeral nail was used for each left humerus. In combination with the trigen im nail system, the trigen sureshot distal targeting system allows surgeons to exercise operating room control, benefitting everyone including the patient and or staff. One implant, two approaches stryker osteosynthesis has created a locking nail system, bringing together all the capabilities and benefits of separate antegrade and retrograde nailing. Proximal humeral nail diaphyseal humeral nail 79 mm 5.
Zimmer tea a tricepson approach to semiconstrained total elbow arthroplasty. The trigen meta nail retrograde femoral nail is indicated for fractures of the femur including stable and unstable distal metaphyseal fractures, diaphyseal fractures, intraarticular fractures, periprosthetic fractures, nonunions, malunions, and for the prophylactic nailing of impending pathological fractures. Although based on the wellknown t2 platform, the t2 proximal humeral nail design incorporates a number of unique features. Small diameter intramedullary implant that requires only a 10mm. The compliance of the nail construct was adjusted by overdrilling the near cortex reliable fracture union since the surgeon. Trigen intramedullary nails are designed to reduce radiation, increasing efficiency and simplify techniques. Computerbased calibrated software provides perfect circle targeting 2. Trigen intertan can also be used as an intramedullary and cephalomedullary nailing system.
The trigen sureshot distal targeting system was designed to mimic the perfect circle technique and has virtually no learning curve. The trigen humeral nail provides new possibilities for the treatment of proximal humeral fractures and humeral shaft fractures. Trigen intertan features include integrated interlocking screw configuration, trapezoidal shape in the proximal femur for a pressfit, learn more here. Humeral nail provides new possibilities for the treatment of proximal humeral fractures and humeral shaft fractures. Trigen intertan intramedullary nail versus sliding hip screw. Pdf intramedullary nailing of the proximal humerus. Please keep in mind that variations in magnification do occur. Efficacy study of surgical technique in intramedullary tibia. Trigen humeral nail long click here to learn more about trigen sureshot. This technique description herein is made available to the healthcare professional to. Distal locking screws for trigen proximal 16cm humeral nails 12. There are some key considerations to this approach. Lower risk of implant failure and reoperation 45,8,15, 17,22,2426, 28.
Place a sterile bolster leg roll or use a leg positioner under the thigh and. It can be used universally for either the left or right humerus. The trigen humeral nailing system product offering includes a 16cm proximal straight nail, a 16cm proximal bent nail, and a full line of long bent nails. The trigen hfn features an oblique locking configuration that allows surgeons to maximize thread purchase by locking into better bone. Whereas many fractures can be treated nonoperatively, some authors estimate that 15% to 64% of proximal humerus fractures are displaced and may warrant surgical treatment. Trigen humeral nail surgical technique pdf writer telegraph. The multiloc humeral nail long includes easily identi. Trigen im nail system surgical technique norsk trigen im nail system surgical technique knee nail for tibial fractures as described by thomas a. Continuous visual realtime feedback of drill position ensures correct direction and angle 3. Trigen intramedullary nailing system trigen sureshot distal targeting system trigen meta nail retrograde femoral nail trigen meta nail tibial nail trigen meta nail nailing in extension instrumentation trigen fan femoral antegrade nails trigen tan trochanteric nails trigen intertan intertrochanteric antegrade nail trigen hindfoot fusion nail trigen humeral nail with sureshot. Nails with a proximal bend are best suited for simple twopart fractures of the proximal humerus involving the surgical neck.
Diaphyseal humeral fractures and intramedullary nailing. Thirdgeneration nails evolved to solve the issue of proximal screw loosening and ultimate fixation failure. One of the new treatment options is the minimally invasive intramedullary nail. If implanted, remove the nail cap or nail cap set screw by. The trigen humeral nail provides new possibilities for the. T2 proximal humeral nail is intended to provide temporary stabilization of various types of fractures, malunions and nonunions of the humerus.
Metanail, tan, fan, humeral, pediatric and adolescent nails trigen sureshot system. The trigen metatan trochanteric antegrade nail is indicated for fractures of the femur including simple long bone fractures, severely comminuted, spiral, large oblique and segmental fractures. Trigen fan nail designed to accommodate the standard femoral mode or the recon mode in the same leg. Electromagnetic distal targeting system does not reduce. This brochure is presented to demonstrate the surgical technique utilized by ralph b. The nail insertion process must also align humeral proximal fractures. This led to the advent of more secure locking mechanisms for proximal screw fixation to allow fixed angular stable constructs. A new approach for the treatment of proximal humeral. Alternatively, position the patient on hisher back with the upper body elevated at an angle of 30. The purpose of this study was to evaluate the functional outcome of using the trigen proximal humeral nail phn for the treatment of displaced proximal humeral fractures in elderly patients. Once the nails were placed, proximal and distal region of the nails were dissected to evaluate the relationship between screws and adjacent anatomical structures. Our experience in 19 patients treated for humeral shaft fracture in 18 months. The t2 humeral nailing system is systems to offer an option for either an antegrade or a retrograde approach to repair fractures of the humerus.
The compliance of the nail construct was adjusted by overdrilling the near cortex reliable fracture union since the surgeon can. All intertan nail templates are available with 117% magnification to compensate for radiographic magnification. Versanail humeral universal nailing system nail 10 figure 9 figure 10 image intensification can be used to place a kwire through the humeral head in line with the intramedullary axis of the humerus figure 9. The first pin is inserted through one of the offcentre holes in the honeycomb just lateral to. Trigen sureshot is a computer based system used to aid the surgeon with drilling position for distal screws during intramedullary nail surgery. Surgical technique multiloc humeral nailing system 2 ao principles 4 indications 5 screw configuration 6 multiloc proximal humeral nail short 6 multiloc humeral nail long 8 clinical cases 10 preoperative planning patient positioning and approach 14 entry point 18 opening of the humerus 20 open medullary canal 20 reduce fracture and ream.
The trigen metanail retrograde femoral nail is indicated for fractures of the femur including stable and unstable distal metaphyseal fractures, diaphyseal fractures, intraarticular fractures, periprosthetic fractures, nonunions, malunions, and for the prophylactic nailing of impending pathological fractures. Intramedullary nails used in trauma surgeries as internal fixation for different indications intertrochanteric fractures, retrograde femoral fracture, hindfoot fractures, tibial fractures. The trigen humeral nail system is designed specifically for the treatment of proximal humeral fractures and humeral shaft fractures, and is indicated for the repair of nonunions, malalignments, pathological humeral fractures, and impending pathological fractures. The t2 proximal humeral nail is intended to be used for various types of proximal andor diaphyseal fractures of the humerus. Trigen intertan surgical technique surgical tech classes. Humeral nail designs have undergone significant innovation during the past 40 years and now can provide stable fixation in the humeral shaft distally as well as improved stability in the head and. The technique description herein is made available to the healthcare professional to il. Do not operate the trigen sureshot targeter within 200mm of an installed pacemaker. Intramedullary locking nail fixation of proximal humerus. Multiloc humeral nailing system surgical technique depuy synthes 3 multiplanar distal locking multiplanar distal locking reduces implant toggling in proximal humeral nailing.
Over the years, humeral nailing has been considered as a homogenous procedure, regardless of the type of nail or the surgical technique used. Trigen intertan is an intertrochanteric antegrade proximal femoral nailing system used to treat hip fractures. With multiplanar screws that are threaded into the nail to inhibit proximal screw backout, and effective, simple instrumentation that helps protect soft tissues, the trigen system now offers an effective. With multiplanar screws that are threaded into the nail to inhibit proximal screw backout, and effective, simple instrumentation that helps protect soft tissues, the trigen. Table of ontents talon distalfix humeral nail system 02 indications 03 relative ontraindications 03 special onsiderations 03 n ue patient positioning 04 opening the proximal humerus 04 nail selection 07 nail insertion 09. Types of fractures include, but not limited to fractures of the humeral shaft, nonunions, malalignments, pathological humeral fractures, and impending pathological fractures. Percutaneous medialized approach for antegrade nailing for. The distal locking was successful obtained in all patients of group 2, while in two patients of group 1 polarus nail a missing of.
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