Prophylactic nailing of incomplete atypical femoral fractures. Phoenix antegrade femoral nail system surgical technique. Four synthetic femurs were fitted with a t2 femoral nailing system stryker, mahwah. Is there a standard rehabilitation protocol after femoral. The t2 recon nail is the realization of excellent biomechanical intramedullary stabilization for internal femoral fixation with several locking options to address fracture variability. There were 21 prophylactic and 44 therapeutic nails with a mean followup of 15 months range 327. The affected lower extremity and hip region are freely draped, and the knee is placed over a sterile bolster. Proximal femoral nail versus dynamic hip screw fixation.
For exchange nailing, t2femoralnails stryker, duisburg, germany were utilized which offer the possibility of interfragmentary compression. Universal femoral nail ii two locking options for different fractures lateral. Fractures of the femoral shaft treated with interlocking nails will ultimately result in breakage of the nail if the bone does not unite. Recent reports have described the occurrence of lowenergy subtrochanteric and femoral shaft fractures associated with longterm bisphosphonate use. This universal retrograde femoral nail is composed. Mediallateral angle of 5 0, allows insertion at the tip of greater trochanter. Stryker has created a next generation locking nail system, bringing together all the capabilities and benefits of separate antegrade and retrograde nailing systems. Disclaimer this document is intended exclusively for experts in the field, i. The t2 nailing platform is designed to treat a wide range of fractures in the upper and lower extremities.
Canal preparation nail selection figure 10 figure 11 surgical technique proximal end color pink darkgolden nail type left right neogen femoral nail. The purpose of this metaanalysis was to find out whether the proximal femoral nail was better than the dynamic hip screw in the treatment of trochanteric fractures with respect to operation time, blood transfusion, hospital stay, wound complications, number of reoperation, and mortality rate. Although information regarding the surgical treatment of these atypical femoral fractures is increasing, it is unclear if the preventive operation is useful in incomplete fractures. Proximal femoral nail versus dynamic hip screw fixation for. The t2 im nailing platform offers a combination of innovation, simplicity and versatility that is designed to suit your various needs. Trigen im nail system femoral tibial intertan short and long lengths metanail retrograde femoral fan femoral antegrade nail standard and recon locking options tan metanail tibial trochanteric antegrade nail standard and recon locking options. Failure of intertrochanteric nailing due to distal nail jamming. Femoral nail, ar t2 femur 011x280 mm t2 femoral nailing system is one of the first femoral nailing systems to offer an option for either an antegrade or a retrograde approach to repair fractures of the femur. For the assessment of femoral torsion, the femoral condyles were imaged in a lateral view with precise projection of both condyles.
The t2 femoral nailing system offers a universal left and right nail in addition to an antegrade or retrograde approach that may reduce inventory. The patent pending phoenix retrograde femoral nail system features corelock technology, a preassembled, embedded locking mechanism that allows the four distal screws 2 transverse and 2oblique to be mechanically locked to provide enhanced distal femoral fixation. The femoral nail gt for greater trochanteric entry and the. Each antegrade femoral nail is composed of titanium alloy and incorporates a 1. The surgeon must check that the package has not been damaged and has not expired. The femoral interlocking nails are metal rods forced into the bones medullary cavity.
An intramedullary rod, also known as an intramedullary nail im nail or interlocking nail or kuntscher nail without proximal or distal fixation, is a metal rod forced into the medullary cavity of a bone. Operative technique t2 supracondylar nailing system. Ufn unreamed femoral nail cfn cannulated femoral nail. In either approach this allows the surgeon to consider the apposition compression feature of the t2 femoral nail, knowing that up to 10mm of active apposition. T2 proximal humeral nail, t2 supracondylar nail, t2 recon nail, the indications have extended from shaft fractures to fractures of the metaphyseal regions.
All patients with a femoral shaft fracture admitted at an urban level 1 trauma center from december 1995 to december 1996 were treated with a. Intramedullary nail for treating proximal femoral and diaphyseal femur fractures. Lengthening of the femur with a remotecontrolled magnetic. Stryker trauma, 182532s, stryker t2 femoral nail, ar. The t2 tibial nailing system represents stryker s latest and most comprehensive development of the original intramedullary principles presented by prof. This enhanced design will continue to offer both simplicity and efficiency while allowing you to achieve more with less.
The centronail titanium universal femoral nailing system. Find details of companies offering proximal femoral nail at best price. Uniflex femoral nail surgical technique zimmer biomet. Lengthening of femur with remotecontrolled magnetic intramedullary nail. At tradeindia, our mission is to help smes go digital. Trigen fan nail designed to accommodate the standard femoral mode or the recon mode in the same leg. Aug 04, 2017 the t2 recon nail is the realization of excellent biomechanical intramedullary stabilization for internal femoral fixation with several locking options to address fracture variability. Radiolucent targeting arms with easy assembly and friction lock technology. Oblique cutting in proximal end prevent irritation to soft tissue. Nail impingement against the anterior femoral cortex during nail insertion, or anterior cortex penetration, has been described in the literature as a worrying complication. Orthofix supplies the centronail titanium universal femoral nail, locking screws and end caps in a sterile package, while the instruments are supplied nonsterile. The ufn is preferably used with the unreamed technique while, since it is cannulated, the cfn is primarily used with the reamed technique using a guide wire. Pdf intramedullary nails are commonly used to repair femoral fractures.
Further management requires removal of the broken nail which may be a difficult process for the distal segment. The t2 supracondylar nailing system offers the advantages of a unique locking configuration and targeting concept, allowing superior fixation in the distal femur, using the already established t2. If we can identify the symptoms just before the nail breaks, an exchange nailing becomes much. All patients with a femoral shaft fracture admitted at an urban level 1 trauma center from december 1995 to december 1996 were treated with a retrograde femoral intramedullary nail. T2 alpha femur antegrade gt pf nailing system includes two options for antegrade femoral nailing. Gamma3 s trochanteric nail 170 hip fracture operative technique.
Pdf proximal femoral nailing without a fracture table. Benefits of early intramedullary nailing in femoral metastases. Antegrade femoral nail afn surgical technique depuy synthes 9 determine nail diameter determine the distal nail diameter by placing the aoasif planning template on an ap image over the isthmus. This universal retrograde femoral nail is composed of titanium alloy that. Intramedullary nail for treating femoral shaft as well as distal femur fractures. Searchable database of fda 510k applications and descisions.
The nail is cannulated for guidewirecontrolled insertion and features a. The top countries of suppliers are india, china, and india, from which the percentage of femoral nails supply is. Besides the t2 femoral nail with a 3m radius of curvature, stryker offers also a 1. Gamma3 nail 170 the anatomical shape of the nail is universal for all indications involving the treatment of trochanteric fractures. Gamma3 nail 170 all nails use the same lag screws, set screw, distal locking screws and end caps see fig. Afn standard antegrade femoral nail afn from the synthes. A wide variety of femoral nails options are available to you, there are 753 suppliers who sells femoral nails on, mainly located in asia. With a tip of the greater trochanter entry point and both recon and antegrade femoral locking options, it offers an efficient treatment option for multiple indications. All randomized controlled trials comparing proximal femoral nail and. The trigen tan and fan intramedullary nails are indicated for fractures of the femur, including intertrochanteric, basitranscervicalfemoral neck fractures and many more. This publication sets forth detailed recommended procedures for using stryker devices and instruments. The t2 recon nail is the realization of excellent biomechanical intramedullary stabilization for internal femoral fixation with several locking. The femoral interlocking nails have long been used for the treatment of the fractures of long bones of the body. 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.
The retrograde nail length is determined by measuring the distance between a point 5mm15mm proximal to the intercondylar notch to a point ator proximal to the lesser trochanter. Symptoms indicating imminent breakage of a femoral. Position the carm for an ap view of the proximal femur. For reconstructive nailing, overreaming the entire canal 1. Femoral intramedullary nail femoral nail manufacturers. Solid and cannulated nails technique guide synthes synthes on.
The t2 tibial nailing system represents strykers latest and most comprehensive development of the original intramedullary principles presented by prof. Type ii annodization allows for enhanced fatigue strength 1. Pdf the biomechanics of the t2 femoral nailing system. Open and closed femoral shaft fractures, ipsilateral neckshaft fractures, segmental fractures, comminuted fractures with or without bone loss, fractures proximal to a total knee arthroplasty, pathologic and impending pathologic fractures, tumor resections, nonunions, pseudoarthrosis, malunions, and corrective osteotomies. Abduct the unaffected leg as far as possible and place it on a leg support, so that it allows free fluoroscopic examinations. Im nails have long been used to treat fractures of long bones of the body. Between 2003 and 2010, 72 consecutive patients with nonunion of the femoral shaft were operated using a standardized protocol in our trauma department and followed up for successful union and functional result. The information on the products andor procedures contained in this document is of a general nature and does not. Class 2 device recall stryker t2 femoral nail system. The t2 alpha femur antegrade gtpf nailing system introduces a hybridimplant concept, providing you with versatile locking configurations in a consolidated implant offering. The top countries of suppliers are india, china, and india, from which the percentage of femoral nails supply is 16%, 73%, and 16% respectively.
Intramedullary nails are commonly used to repair femoral fractures. Multiplane locking options increase the stability of distal fragment. In addition to the t2 nailing systems for femoral, tibial, and humeral fractures, stryker osteosynthesis has developed the t2 knee arthrodesis nail and, more recently, the t2. The unreamed femoral nail ufn and the cannulated femoral nail cfn are used to stabilize diaphyseal and metaphyseal fractures of the femur. The remotecontrolled magnetic intramedullary nail is a telescopic implant that contains a magnet that turns a gear box to induce controlled elongation of the nail. We made a retrospective study of 65 patients with femoral metastases treated with intramedullary nails between 1995 and 2011 at the department of traumatology in hospital clinico san carlos in madrid. T2 femoral nailing system operative technique patient positioning retrograde nail insertion is performed with the patient supine on a radiolucent table. Fda 510k applications for medical device product code hsb rod, fixation, intramedullary and accessories.
Proximal femoral nail antirotation surgical technique depuy synthes 9 position the patient supine on an extension table or a radiolucent operating table. 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. Furthermore, the development of the t2 femoral nailing system offers the competitive advantages of. Proximal femoral nail antirotation surgical technique depuy synthes 11 2 confirm nail length and diameter instrument 309. T2 alphatm femur antegrade gtpf nailing system stryker. The phoenix retrograde femoral nail system features corelock technology, a preassembled, embedded locking mechanism that allows the four distal screws 2 transverse and 2oblique to be mechanically locked to provide enhanced distal femoral fixation.
Determine the nail length by the above procedure on the uninjured leg or before draping nonsterile or compare the length of two identical synream reaming rods b 2. The t2 im nailing platform offers a combination of innovation. Orthopedics abstract in closed intramedullary nailing of the femur in the lateral decubitus position without the use of a fracture table, access to the proximal femur is enhanced as compared to. Four synthetic femurs were fitted with a t2 femoral nailing system stryker, mahwah, new. Now more than ever, we are committed to provide smes with the resources they need to. We describe a previously unreported surgical failure due to a compromised dynamic distal locking caused by distal jamming of the nail.
Lateral decubitus positioning for intramedullary nailing. Inserting a femoral interlocking nail is an effective and vital management approach to treat femoral shaft fractures. Stryker has created a next generation locking nail system, bringing together all the capabilities and benefits of separate nailing systems to create a. Phoenix retrograde femoral nail system featuring corelocktm. Failure of intertrochanteric nailing due to distal nail. T2 alpha femur antegrade gtpf nailing system, t2 alpha tibia nailing. Additionally, the system features a modular radiolucent targeting arm that permits multiplanar radiographic. Oct 10, 2014 the aim of this study was to evaluate a standardized method of treatment of femoral nonunion of the isthmal femur excluding nonunited metaphyseal fractures. We are a liquidator of sutures and other surgical items from ethicon, covidien autosuture, synthes, stryker, arthrex and are able to pass our savings on to you. Initially, distal interlocking screws were inserted. Please check the sterility of each device on the product label. This publication sets forth detailed recommended procedures for using stryker devices and. Oct 15, 20 we made a retrospective study of 65 patients with femoral metastases treated with intramedullary nails between 1995 and 2011 at the department of traumatology in hospital clinico san carlos in madrid. The t2 gtn nailing system is the realization of biomechanical intramedullary stabilization using small caliber, strong, cannulated implants for internal fixation of the femur.
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