To facilitate conformity with the human anatomy, the long nail is supplied in a left and right version. Antegrade nailing, with a lateral entry point, is normally reserved for very distal femoral fractures. Femoral recon nail system multiloc humeral nailing system pfn proximal femoral nail pfna pfna. Estimate nail diameter and length use the ao preoperative planner template for the titanium cannulated hindfoot arthrodesis nail ex to estimate nail diameter and length. This arthrodesis nail brochure is presented to demonstrate the surgical technique utilized by michael o.
Each nail is supplied sterile packaged together with a set screw in one box. The synthes titanium elastic nail ten for elastic stable intramedullary nailing esin is intended for fixation of diaphyseal fractures of long bones where the medullary canal is narrow or flexibility of the implant is paramount. A comparative study of screw and helical proximal femoral. As the nail is advanced, rotate the handle so it is positioned laterally for. During a validation test for a change to the companys sterile packaging, it was discovered that the outer pouch, which holds a sterile, internal pouch, may have been compromised. Standard system 20 pages medical equipment synthes dfn surgical technique.
Synthes expert lateral femoral nail lfn for impending pathological fracture surgical procedure. Biomet, as the manufacturer of this device, does not practice medicine and does not recommend this or any other surgical technique for use on a specific patient. Tfn titanium trochanteric fixation nail system surgical technique depuy synthes 19. Furthermore, the development of the t2 femoral nailing system offers the competitive advantages of. Gamma3 nail 170 all nails use the same lag screws, set screw, distal locking screws and end caps see fig. Reference chart synthes usa 2 wrights lane east west chester, pa 19380 telephone. Used synthes titanium trochanteric fixation nail locking.
There is still debate on the best fixation device to treat stable or rather stable trochanteric fractures. Solid and cannulated nails technique guide synthes synthes on. Complete the preoperative radiographic assessment and prepare the preoperative plan. Any misalignment of the drill in the nail could result in damage to the targeting device and should be remedied. Surgical technique implant selection the trigen intertan nail preoperative template set 71674200 may be used to assist with preoperative implant selection. Synthes recalls every fixation nail system sold since 2004. To avoid the trochanteric growth plate, decreasing. System, stryker developed the t2 supracondylar nail scn for the treatment of complex distal femoral fractures. Femoral universal femoral universal nailing system. Synthes expert lateral femoral nail lfn for impending pathological fracture surgical technique with step by step instructions on orthoracle. This technique guide describes the more common retrograde technique in detail. Trigen metatan trochanteric antegrade nail provides both stability and versatility for high proximal fractures, midshaft fractures, distal fractures. Synthes tfn titanium trochanteric fixation nail system.
The system is the result of over 25 years of continuous innovation and clinical history. Intramedullary nailing implants consist of metallic interlocking nails, interlocking arthrodesis nails, noninterlocking flexible nails, helical or spiral blades, femoral. Tibial intramedullary nailing suprapatella approach. This modal can be closed by pressing the escape key or activating the close button. Contour both nails into a bow shape with the nail tip pointing to the concave side of the bowed nail. Trochanteric fixation nail with helical blade compared with. The gamma3 locking nail system is based on more than 20 years of gamma nail experience. Synthes lcp surgical technique manual pdf download. Synthes trauma menu proximal femoral products nails designed for trochanteric entry and rigid fixation into the femoral head. Many methods have been described to allow for removal of the broken piece of the nail. A wall chart 97249500300 is also available to help explain the color coding system.
Instructions for use intramedullary nailing implants. We are a reliable store, provide synthes medical sales services. During the last decade, proximal femoral nail antirotation pfna, synthes, oberdorf, switzerland 4,5 and the trochanter fixation nail tfn, synthes paoli, usa 6 have become established as. Our elearning platform contains high resolution images and a certified cme of the tibial intramedullary nailing suprapatella approach. Uhnphn humeral nailing system utnctn solidcannulated tibial nail please read these instructions for use, the synthes important information and the corresponding surgical technique guide carefully before use. The etched line on the nail will provide a reference for the. New advanced nailing system from depuy synthes companies. Gamma3 nail long this nail incorporates several important mechanical design features.
The letter identified the product, the problem, and the action to be taken by the customer. The evolution of the successful trochanteric and long gamma nails as well as the small stature versions followed strictly a step by step improvement based on the clinical. Gamma3 nail 170 the anatomical shape of the nail is universal for all indications involving. Gamma3 locking nails come in 3 neck shaft angles of. T2 flexible nail is intended for the temporary stabilization of bone segments or fragments until bone consolidation has been achieved for upper and lower extremity fractures of pediatric patients.
Ensure that you are familiar with the appropriate surgical technique. Electronic instructions for use depuy synthes companies. Titanium trochanteric fixation nail system 84 pages medical equipment synthes dhs surgical technique. This antegrade intramedullary nail system is available in a variety of diameters and lengths with varying anterior bows to accommodate varying patient anatomy. The titanium flexible humeral nail system technique guide for antegrade or retrograde insertion synthes on. Clampassisted reduction of high subtrochanteric fractures of the femur. Removal of a broken intramedullary nail may be a real challenge. Tfnadvanced proximal femoral nailing system is intended for treatment of fractures in adults and adolescents 1221 in which the growth plates have fused. Distal femoral nail 27 pages medical equipment synthes liss df technique manual 48 pages medical equipment synthes maintenance unit instructions for use manual.
Augmentation value analysis brief designed to advance the treatment of hip fractures key literature. Depuy synthes targets better hip fracture outcomes with. Surgical technique implant selection the trigen tan 71180884 and trigen fan 71180497 radiographic templates may be used to assist with preoperative implant selection. Over 1 million times per year, biomet helps one surgeon provide personalized care to one patient. Mar 31, 2009 intramedullary nail system by trauma orthopedic surgeons for fracture treatment. The nail design has been well proven in over 200 000 cases performed with the pfn. 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 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 instrument platform and locking screws. Helps restore natural anatomic shape to fractured long bones. T2 femoral nailing system operative technique technical details note. U in the following, the trochanteric nail 170 is called. Tfnadvanced proximal femoral nailing system tfna with augmentation. First results with the trochanter fixation nail tfn.
Synthes 7 ten titanium elasticnail standard surgical technique 10 advance first nail to the fracture zone advance the nail manually up to the fracture site, using rotating movements or gentle taps of the combined hammer 359. A potential exists for non conforming synthes titanium trochanteric fixation nail tfn helical blades to be distributed. Open reduction internal fixation orif with intra or extramedullary implants is the most frequent attitude in these fractures, which usually heal easily. Trochanteric fractures are frequent and generally associated with bone fragility. Indications the zimmer natural nail system is intended for temporary fracture fixation. The contralateral leg may be flexed at the hip or scissored. Gamma3 nail 170 the anatomical shape of the nail is universal for all indications involving the treatment of trochanteric fractures. The titanium flexible humeral nail system technique guide for antegrade or retrograde insertion.
Nov 19, 2012 synthes titanium trochanteric fixation nail. Note as template magnification levels are set at 117%, all measurements are estimates of true size. Synthes titanium trochanteric fixation nail youtube. Pfna nail surgical technique animation created by kems studio. The nail also has an anterior bow, which mimics normal pediatric. The synthes titanium trochanteric fixation nail tfn system. Removal of a broken cannulated intramedullary nail.
Learn the tibial intramedullary nailing suprapatella approach. The pedinail im nail system was designed for use with a lateral trochanteric approach for two reasons. Ufn unreamed femoral nail cfn cannulated femoral nail. The titanium flexible humeral nail system technique guide. Surgical technique standard locking spiral blade locking. Revision surgical technique using sigma tc3 rp with mbt revision and stem extensions 14. Design summary the femoral universal nail system from the versanail platform offers options to treat a range of femoral fractures using either an. Compared with techniques like pfn and gammanail, clinical results are excellent. To avoid the piriformis fossa and the vessels supplying blood to the head of the femoral and significantly reduce the potential for idiopathic femoral head avascular necrosis. Hip fractures, trochanteric fixation nail, helical blade.
This site is published by depuy synthes companies which is solely responsible for its content. Complications after hip nailing for fractures semantic scholar. Techniquenail insertion for pediatric femur contouring the nail additionally available item contouring may be done by hand or with the tabletop platebending press 329. The depuy versanail femoral universal nail is part of a long bone nailing system that offers a complete portfolio of implants and instruments based on a single, standardized technology platform. Expert nailing system titanium cannulated hindfoot.
Mount the side arm targeting device proximally, insert a drill sleeve assembly and insure sleeve alignment with the proximal locking hole by passing a 3. The titanium flexible humeral nail system technique guide for. This website uses cookies to help you get the most out of your experience during your visit, and we can improve the content served to you by collecting statistical information. Phoenix tibial nail system featuring corelocktm technology. With augmentation option pfnaii set screw for trochanteric fixation nail suprapatellar instrumentation for expert tibial nail tfn titanium trochanteric fixation nail system tfna proximal femoral nailing system the universal nail system. Pdf surgical technique for adolescent femur fractures. Price new from used from paperback, 1996 please retry. Surgical technique phoenixtm tibial nail system featuring corelocktm technology each nail features corelocktm technology, a preassembled, embedded locking mechanism for locking all proximal oblique screws, which can also be used to internally mechanically compress up to 5mm for a variety of tibial fractures. Treatment of recent trochanteric fracture in adults. Get the best deals on synthes when you shop the largest online selection at. The synthes titanium trochanteric fixation nail tfn is intended to treat stable and unstable pertrochanteric fractures, intertrochanteric fractures, basal neck fractures, and combinations thereof. Disclaimer the sale of this item may be subject to strict regulations by the u. The tfna system is designed to advance the treatment of trochanteric fractures by providing surgical options that help to preserve bone in insertion area due to reduced critical width, improve anatomical fit 1 and increase implant strength.
The unreamed femoral nail ufn and the cannulated femoral nail cfn are used to stabilize diaphyseal and metaphyseal fractures of the femur. Your digital gateway to expertise, education, and innovation. Synthes usa trochanteric fixation nail tfn screw classification. Our elearning platform contains high resolution images and a certified cme of the femoral intramedullary nail. The technique is written to explain use of the suprapatella targeting guide which should be used when the knee is in extension.
Used synthes titanium elastic nail set surgical instruments. The nail is unslotted and cannulated for guidewirecontrolled insertion. Depuy synthes trauma titanium trochanteric fixation nail locking. The three neckshaft angles accommodate variations in femoral neck anatomy. 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. A report on 120 cases article in archives of orthopaedic and trauma surgery 12610. Titanium trochanteric fixation nail systemscrew option. This is the third generation of intramedullary short and long gamma fixation nails. This site is intended for visitors from the africa, asia, europe, latin america and pacific. Solid and cannulated nails technique guide synthes paperback 1996. This content is intended for health care professionals in the united states. Operative treatment of a hip fracture remains the best option as it helps.
Class 2 device recall synthes titanium trochanteric fixation. First clinical and biomechanical results of the trochanteric. Step by step instructions to achieve a perfect proximal. To estimate nail diameter, place the template on the ap and. Two lots of titanium trochanteric fixation nail tfn system are missing the second bend in the nail. Avoid excessive abduction of the hip during reduction as the access to the starting point and nail insertion may be impeded. The science and art of medical care is to provide the right solution for each individual patient. 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. Nail length, locking screw length and nail cap size may be determined. Synthes trauma has recalled every single trauma fixation nail system sold in the u. Synthes sent a field safety notice dated october 3, 20, to all affected customers. Nail size, screw length and femoral neck angle may be determined. Specific indications include the fixation of middiaphyseal, proximal and distal fractures of the femur, tibia, fibula, humerus and forearm fractures.
This site is published by the depuy synthes companies, which are solely responsible for its content. Gamma is a comprehensive intramedullary nailing system for the treatment of a wide range of proximal femur fractures as well as associated femoral shaft fractures. Type ii anodization for titanium implants offers increased fatigue strength. Recent trochanteric fracture is frequent in adults, and mainly affects elderly patients who risk loss of independence. Nonunion of long bones fixed with nails may result in implant failure. Snythes titanium trochanteric fixation nail locking set.
The trunk may be laterally flexed away from the operative side to improve access to the starting point. To aid with the insertion of long nails, orient the insertion handle anteriorly until the nail reaches the isthmus. Some devices listed in this surgical technique may not have been licensed in accordance. Synthes 3 distal femoral nail implants nails short and long, for standard locking and spiral blade locking solid.
This requires clinical mastery, a human connection between the surgeon and the patient, and the right tools for each situation. Buy synthes medical surgical equipment or devices at used synthes. Tfna proximal femoral nailing system surgical technique depuy synthes 8 3 determine ccd angle instruments 03. The nails complex threedimensional geometry includes a proximal lateral bend to accommodate its trochanteric entry point and smaller diameter that allows for easier insertion without the need for excessive reaming, or widening, of the canal. Operative technique 10 patient positioning and fracture reduction 10 incision 10 entry point 10 reamed technique 12 nail selection 14 nail insertion 16 proximal guided locking 18 proximal ap locking 22 distal locking 23 end cap insertion 26 nail removal 26 ordering information implants 27 ordering information instruments 28. Do you want to use the redesigned aosr like an app. Synthes expert tibial nail surgical technique with step by step instructions on orthoracle. Gamma3 long nail is intended for fixation of stable and unstable femoral fractures occurring from the base of the femoral neck extending distally to a point approximately 10cm proximal to the intracondylar notch including fractures of the basilar neck, intertrochanteric fractures, peritrochanteric fractures, subtrochanteric fractures and femoral shaft fractures.
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