Uniflex humeral nail surgical technique the uniflex humeral nail system was developed in conjunction with ralph b. Trigen humeral nail surgical technique pdf writer telegraph. A new approach for the treatment of proximal humeral fractures using the trigen proximal humeral nail. The trigen humeral nail system is designed specifically for the treatment of proximal humeral 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. Multiple fluoroscopic images of the arm in various positions must be obtained to confirm that the nail is below the horizon of the humeral head and adequately countersunk by a 3.
Humeral nails with multiple locking options for simple and. 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. Jul 29, 2015 the best sleeping position for back pain, neck pain, and sciatica tips from a physical therapist duration. 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. The nail is driven below the cortical surface of the humeral head to prevent subacromial impingement and rotator cuff irritation figure 5. Versanail humeral proximal nailing system 3 intramedullary fixation of humeral proximal fractures the versanail humeral proximal 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. The trigen humeral nail provides new possibilities for the treatment of proximal humeral fractures and humeral shaft fractures. Intramedullary nails used in trauma surgeries as internal fixation for different indications intertrochanteric fractures, retrograde femoral fracture, hindfoot fractures, tibial fractures. Slide the ruler over the proximal end of the guide rod.
Instrumentsthe multiloc humeral nail system has not been evaluated for safety and compatibility 66 set lists 77 mr information in the mr environment. Trigen sureshot is a computer based system used to aid the surgeon with drilling position for distal screws during intramedullary nail surgery. The proximal humerus can also be prepared by using the humeral broach. Insert the nail until the nail tip protrudes only slightly into the humeral head. Solid humeral nail uhn and proximal humeral nail phn. The possibility of compression or dynamisation must be taken into account when determining the tibial nail length and a correspondingly shorter nail should be chosen. Final seating of the screw should always be under manual control using. The nail design and optimal screw orientations have been chosen after an extensive dimensional analysis of the proximal. Do not operate the trigen sureshot targeter within 200mm of an installed pacemaker. Descriptive data of the different nails tested can be found in table table1. Instrument reference guide trigen humeral nail instrument. 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. Click here to visit our frequently asked questions about html5.
All pdf files and may take some time to load be patient. Proximal andor diaphyseal fractures of the humerus nonunions. Trigen humeral intramedullary nail the trigen humeral intramedullary nail brings the simplified instrumentation of the trigen nail system to the hindfoot. The humeral nail system can be used with or without the sureshot distal targeting system.
All trigen locking screw measuring devices, measure from. The entry point for the talon distalfix humeral nail is in line with the medullary canal in the lateral view. Driving end of nail all knee nails and distal tibia. 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. The aequalis humeral nail has been designed to maximize tuberosity fragment fixation and provide stable support for the humeral head, resulting in improved proximal humeral reconstruction and fixation in osteoporotic bone. Intramedullary fixation of proximal humerus fractures. Download download trigen humeral nail surgical technique pdf writer read online read online trigen humeral nail surgical technique pdf writer official fulltext paper pdf. 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. Lenguaje oral definicion pdf, trigen humeral nail surgical. This allows the insertion of a lateromedial locking bolt into the humeral head distally to the rotator cuff. 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. The t2 proximal humeral nail is intended to be used for various types of proximal andor diaphyseal fractures of the humerus. Arthrex offers a complete proximal humeral fracture management system for all fracture classifications. The safety of the multiloc humeral nail system in the mr environment is unknown.
Both antegrade femoral nails are designed to accommodate a standard femoral locking mode or the recon locking mode in the same leg. Fluoroscopic freehand and electromagneticguided targeting system for distal locking screws of humeral intramedullary nail. Request to remove tetraplegia and paraplegia pdf file. A new approach for the treatment of proximal humeral. The humeral universal nail system from the versanail platform offers options to treat a range of humeral fractures using either the antegrade or retro. Trigen intramedullary nails are designed to reduce radiation, increasing efficiency and simplify techniques. Smith and nephew, usa was inserted according to the usual proximal humeral im nail method.
Pdf intramedullary nailing of humeral shaft fractures. 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. Trigen humeral nail proximal and long trigen hindfoot nail. A new approach for the treatment of proximal humeral fractures.
The three types of internal fixationwere applied following the standardized surgical procedures. Versanail humeral proximal nailing system zimmer biomet. The broaching method utilizes the noncylindrical shape of the proximal body of the nail to help rotationally stabilize the nail during insertion of the locking screws. The old adage that a nail is a nail and a plate is a plate has been proven patently false through rigorous biomechanical and controlled study paradigms. Instruments and implants approved by the ao foundation. 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. Pdf intramedullary nailing of the proximal humerus. Trigen humeral nail features include trapezoidal nail profile, four multiplanar proximal screws and multiple lengths bent and straight. Expert humeral nail and expert proximal humeral nail. The retrograde nail length is deter mined by measuring the distance from 1cm above the olecranon fossa to the center of the humeral head. Electromagnetic distal targeting system does not reduce the. Although based on the wellknown t2 platform, the t2 proximal humeral nail design incorporates a number of unique features. The compliance of the nail construct was adjusted by overdrilling the near cortex reliable fracture union since the surgeon can.
The combination of minimally invasive surgical techniques with biomechanical design parameters to optimize bone regeneration after injury is a highly implant and instrumentdependent process. We searched pubmed, embase, and the cochrane databases for studies comparing locking plate and intramedullary. 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. A deep understanding of the anatomical and biomechanical characteristics of the humerus is essential for arriving at decisions about important issues such as nail selection criteria, operative technique, and a rehabilitation program, whenever intramedullary nailing of diaphyseal humeral fractures is contemplated. The trigen humeral intramedullary nail brings the simplified instrumentation of the trigen nail system to the hindfoot. 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. To compare the longterm functional and radiographic outcomes of the proximal femoral nail antirotationasia pfnaii and. Refer to the sureshot user manual 71181540 for details about the.
Use the humeral nail guide bolt to attach the nail drill guide to the broach figure 6. The modular implant system, consisting of a short and long nail with multiple locking options, covers a wide application range to address simple and complex fractures. The distal locking was successful obtained in all patients of group 2, while in two patients of group 1 polarus nail a missing of distal locking screw placement was noted. It has not been tested for heating, migration or image artifact in the mr environment.
Trigen humeral nailing 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. Orthopaedic division 1450 east brooks road memphis, tn 3 8 1 16 901 3995153 name of device. The talon distalfix humeral nail system is indicated to aid in the alignment and stabilization of humeral fractures, including. Electromagnetic distal targeting system does not reduce. Download download tetraplegia and paraplegia pdf file read online read online tetraplegia and paraplegia pdf file the purpose of this book has always been to act as a manual for physiotherapists faced with the challenge of treating patients with tetraplegia and paraplegia. The goal of antegrade humeral nailing of proximal humerus fractures is to provide stability to a reduced fracture that allows early motion to. Jointpreserving palliative surgery using selflocking. Efficacy comparison of intramedullary nails, locking plates and.
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. The incidence of proximal humeral fractures is high in the elderly, and the superior management of these fractures remains a controversy. Trigen humeral intramedullary nail bmt medical devices. We performed mechanical tests to investigate whether retrograde intramedullary nailing has fixation stability comparable to those of anterograde intramedullary nailing and locking plate which achieve clinically favorable outcomes. Manca, md short proximal humeral nail long proximal humeral nail removal of the handle and closure diaphyseal humeral nail. Examples of specific indications according to ao classification include type afractures, dislo. Verify the position of the nail with the image intensifier. 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. Risk assessment of retrograde intramedullary nailing for. With the multiloc humeral nailing system, synthes opens up opportunities for the treatment of humeral fractures. Surgical technique this publication is not intended for distribution in the usa. Centronail humeral instruments box, complete 1789911. Uniflex humeral nail surgical technique zimmer biomet.
Pdf fluoroscopic freehand and electromagneticguided. Diaphyseal humeral fractures and intramedullary nailing. The tip of the ruler should be at the level of the greater trochanter. T2 proximal humeral nail is intended to provide temporary stabilization of various types of fractures, malunions and nonunions of the humerus. The aim of the study was to stress out the complexity of appropriate operative treatment of humeral shaft fractures using intramedullary fixation, as well as the importance of proper reduction and stable fixation. Check the reduction and read off the required tibial nail length on the radiographic ruler as it appears in the xray. Features and benefits proximal locking locking screws. Small diameter intramedullary implant that requires only a 10mm. Instrument reference guide trigen humeral nail instrument set set no. The sureshot system is a realtime imaging system that works with trigen im nailing systems. Secondary complications were minimal and observed in only 6 of 54 patients. The trigen humeral nail provides new possibilities for the treatment of proximal. The proper nail length when inserted antegrade should extend from sub chondral bone proximally, to 1cm above the olecranon fossa distally.
This brochure is presented to demonstrate the surgical technique. Apr 21, 2017 this feature is not available right now. Advance the open end of the ruler through the channel reamer and entry portal tube. The t2 proximal humeral nail is intended for single use only. Diaphyseal fractures of the humeral shaft proximal humeral fractures with diaphyseal extension impending pathologic fractures relative ontraindications the following conditions may present an.
It is a computerassisted orthopaedic surgery tool to aid the surgeon with drill positioning for screws during intramedullary nail implantation. 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 proximal humeral fracture except ao classification 11a1, fixations with a locking plate and nails are recommended. Read the nail length from the calibrations exposed at the other end of the ruler. This metaanalysis compared the clinical outcomes of locking plate with intramedullary nail in the treatment of displaced proximal humeral fractures.
The best sleeping position for back pain, neck pain, and sciatica tips from a physical therapist duration. Metaanalysis of locking plate versus intramedullary nail for. The torques generated at the distal end of the humerus were. The device is indicated for degeneration, deformity, or trauma of both the tibiotalar and talocalcaneal articulations in the hindfoot. Modern proximal humeral nail designs and techniques assist the surgeon in adhering to. Types of fractures include, but not limited to fractures of the humeral shaft, nonunions, malalignments, pathological humeral fractures, and impending pathological fractures. 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. D device description the device is a stainless steel or titanium alloy nail for orthopaedic implantation.
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