Trigen humeral nail surgical technique pdf

Periloc calcaneal locking plate preoperative template cat. Pdf intramedullary nailing of the proximal humerus. In the final analysis, the preferred treatment is that. Do not operate the trigen sureshot targeter within 200mm of. Modern proximal humeral nail designs and techniques assist the surgeon in adhering to these principles and have demonstrated promising.

All nonsterile devices must be cleaned and sterilized before use. These views are not to scale and should be used as a pictorial representation only. Please keep in mind that variations in magnification do occur. Nota bene the technique description herein is made available to the healthcare professional to illustrate the authors suggested treatment for the uncomplicated procedure. Uniflex humeral nail surgical technique zimmer biomet. The t2 proximal humeral nail is intended for single use only. Intramedullary fixation of proximal humerus fractures. The t2 proximal humeral nail is intended to be used for various types of proximal andor diaphyseal fractures of the humerus. In three and four part fractures, the humeral operative technique. Utilizing the same trigen instruments, the tan was developed to simplify the surgical approach by allowing placement of the nail through the greater trochanter instead of the piriformis fossa. Modern proximal humeral nail designs and techniques assist the surgeon in adhering to these principles and. The zimmer natural nail system is a next generation of intramedullary nails. 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.

For the proximal humerus, the selflocking screw type of the im nail trigen humeral nail. The t2 tibial nailing system is the realization of superior biomechanical intramedullary stabilization using small caliber, strong cannulated. Nailing system intramedullary nail for treating humeral shaft fractures. Trigen philosophy of instrumentation, that is minimally invasive while reducing surgery time and helping. Distal humerus olecranon volar distal radius proximal humerus.

All pdf files and may take some time to load be patient. This brochure is presented to demonstrate the surgical technique utilized by ralph b. In both surgical approaches, the special hole geometry of the nail ensures. Download download trigen humeral nail surgical technique pdf writer read online read online trigen humeral nail surgical technique pdf writer official fulltext paper pdf. The incision approach that is recommended and most often used for antegrade humeral nailing is the lateral deltoid splitting.

Uncover an easy and advanced nailing system the trigen humeral nail provides new possibilities for the treatment of proximal humeral fractures and humeral shaft fractures. Trigen humeral nail antegrade mode only specifications driving end of nail proximal lock nondriving end of nail distal lock 18 28 lengths note. Trigen meta nail tibia trigen meta nail femur trigen knee nail retrograde femoral technique 3. The trigen humeral nail provides new possibilities for the treatment of proximal humeral fractures and humeral shaft. Surgical technique for nail removal article pdf available in acta orthopaedica belgica 752. The uniflex humeral nail system was developed in conjunction with ralph b. Although based on the wellknown t2 platform, the t2 proximal humeral nail design incorporates a number of unique features. 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. The trigen humeral nail with its versatile screw configuration was shown in a cadaver study to be one of the safest humeral nails for avoiding axillary nerve damage3 the trigen humeral nail system with sureshot technology is designed to distal lock the nail first, using the electromagnetic wand and perfect circles method for fewer. Insafelock humeral nail provides a safe application for. Exactech prosthetic proximal humeral fracture repair surgical technique. The t2 im nailing platform offers a combination of innovation, simplicity and versatility that is designed to suit your various needs. Types of fractures include, but not limited to fractures of the humeral shaft, nonunions, malalignments, pathological humeral.

Zimmer tea a tricepson approach to semiconstrained total elbow arthroplasty zimmer coonradmorrey elbow cross section measurements. Do not operate the trigen sureshot targeter within 200mm of an installed pacemaker. One of the new treatment options is the minimally invasive intramedullary nail. Biomet, as the manufacturer of this device, does not practice medicine and. Repair of traumatic humeral fracture with titanium rod nail and screws. Jointpreserving palliative surgery using selflocking screws. The polarus locking humeral rod and polarus plus humeral rod are cannulated intramedullary humeral rods that feature a tapered profile with a spiral array of proximal. Exposure and nail insertion were performed using the surgical technique recommended by each nail manufacturer, using fluoroscopy in order to. The high difficulty to locking distally the humeral nail with screws makes this surgical step sometimes a frustrating part of imn. Expert tibial nail surgical technique depuy synthes 11 3 confirm nail length and diameter instrument 03. Biomet, as the manufacturer of this device, does not.

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 andor diaphyseal fractures of the humerus nonunions. Trigen humeral intramedullary nail bmt medical devices. They are characterized by their anatomic shape, which is intended to replicate the natural anatomic shape of the various long bones in the human skeleton. However, we found the application of the distal locking screws in the trigen humeral nail with fluoroscopic guidewire and freehand technique with prolonged duration and similar safety design when compared with insafelock nails. Jointpreserving palliative surgery using selflocking screws of. This brochure presents a surgical technique available for use with the biomet, inc. For all patients, the same surgical procedure was performed. Pdf intramedullary nailing of humeral shaft fractures. 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. Titanium nail is hammered down inside humeral shaft and across. Fluoroscopic freehand and electromagneticguided targeting system for distal locking screws of humeral intramedullary nail. With multiplanar screws that are threaded into the. If using the sureshot distal targeting system, be sure to read and understand the trigen sureshot distal targeting system user manual ref 71181540.

This surgical technique offers guidance but, as with any such technique guides each surgeon must consider the particular needs of each patient and make appropriate clinical decisions as required. Examples of specific indications according to ao classification include type afractures, dislo. Many surgical techniques have been introduced to correct humeral shaft fractures, and there have. The trigen humeral intramedullary nail brings the simplified instrumentation of the trigen nail system to the hindfoot. Note as template magnification levels are set at 117%, all measurements are estimates of true size. Types of fractures include, but not limited to fractures of the humeral shaft, nonunions, malalignments, pathological humeral fractures, and impending pathological fractures. Check the reduction and read off the nail length from the image of the ruler. An example of a surgical procedure includes but is not limited to locating and drilling the distal holes in an intramedullary nail. To complement the t2 nailing system, stryker osteosynthesis has created a humeral implant. Including surgical devices and advanced wound care products. The nail is titanium and is intended to be inserted from proximal to distal. This surgical technique offers guidance but, as with any such technique guides each surgeon must consider the particular needs of each patient and make. Addition of ability to target for trigen metatan nail addition of drill measurement, trauma addition of humeral nail. The humeral nail system can be used with or without the sureshot distal targeting system.

The trigen tan is used for the same indications as the standard trigen fan. Jointpreserving palliative surgery using selflocking. Solid humeral nail uhn and proximal humeral nail phn surgical technique. The trigen hfn features an oblique locking configuration that allows surgeons to maximize thread purchase by locking into better bone. Position the carm for an ap view of the distal tibia. A new approach for the treatment of proximal humeral. Nail size, screw length and femoral neck angle may be determined. Electromagnetic distal targeting system does not reduce the overall. The compliance of the nail construct was adjusted by overdrilling the near cortex reliable fracture union since the surgeon can. Versanail humeral proximal nailing system zimmer biomet. The gamma3 locking nail system is based on more than 20 years of gamma nail experience.

Versanail humeral universal nailing system 3 one implant designed for the efficient treatment of a range of humeral fractures the versanail humeral 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. In both surgical approaches, the special hole geometry of the nail ensures an optimal position of the locking holes. Efforts to prevent iatrogenic neurovascular injuries with humeral intramedullary nailing lead to design new implants and inside to out distal locking. Furthermore, the development of the t2 humeral nailing system offers the competitive advantages of. Provides information to the surgeon that is used to place surgical instruments during surgery utilizing intraoperatively obtained electromagnetic tracking data.

Trigen humeral nail surgical technique pdf writer telegraph. Both antegrade femoral nails are designed to accommodate a standard femoral locking mode or the recon locking mode in the same leg. Electromagnetic distal targeting system does not reduce the. Concerns regarding bony union have been reported in medical literature, but no case of femoral nail breakage secondary to.

This is the third generation of intramedullary short and long gamma fixation nails. 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. Pdf fluoroscopic freehand and electromagneticguided. The trigen humeral nail system is indicated for proximal andor diaphyseal fractures of the humerus, nonunions, malalignments, pathological humeral fractures, and impending pathological fractures. Humeral nail instrumentation was designed using the. The solid humeral nail uhn can be used for an antegrade or retrograde insertion in the humeral shaft, and can be employed universally for the left and right humeri. Surgeons may need to make modifications as appropriate in their own surgical technique with these devices depending on individual patient requirements. In addition to the t2 femoral nailing system, stryker developed the t2 supracondylar nail scn for the treatment of complex distal femoral fractures. The trigen humeral nail system is indicated for proximal andor diaphyseal fractures of the humerus, nonunions, malalignments, pathological humeral fractures. Antegrade and retrograde femur operative technique.

Surgical technique for the trigen humeral nail system using the trigen sureshot distal targeting system table of contents. May 21, 20 the optimal surgical treatment for displaced proximal humeral fractures continues to be controversial. Solid humeral nail uhn and proximal humeral nail phn. Trigen humeral nails have a favor in terms of safety against the other nails in the market. Multicomponent instrument assemblies must be disassembled prior to cleaning. Apr 30, 20 the trigen knee fusion nail is one of the trigen series of intramedullary nails. T2 proximal humeral nail is intended to provide temporary stabilization of various types of fractures, malunions and nonunions of the humerus. Surgical technique implant selection the trigen intertan nail preoperative template set 71674200 may be used to assist with preoperative implant selection.

The polarus humeral rod system is designed to provide fixation for 2, 3, and some 4part fractures of the proximal humerus through a minimally invasive surgical technique. Humeral shaft fracture, humeral nail, sureshot, locking nail. Surgical technique for the trigen humeral nail system using the trigen sureshot distal targeting. Surgical technique for the trigen humeral nail system using the trigen sureshot distal. Pdf proximal humerus fractures are the third most common fracture in the elderly.