Bone and Joint. One Implant, Two Approaches Stryker has created a next generation locking nail system, bringing together all the capabilities and benefits of separate antegrade and retrograde nailing systems to create a single, Retrograde nail insertion is performed with the patient supine on a radio-lucent table. 20680 Removal of implant; deep (eg, buried wire, pin, screw, metal band, nail, rod or plate) Hospital Inpatient: ICD-10-PCS Code and Description Fusion (Joining together portions of an articular body part rendering the articular body part immobile. By Orthopaedic Trauma Institute at UCSF FEATURING Eric Meinberg. 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/ Total of 4 distal screw options may be locked to the nail. External distal targeting device for safe insertion of distal locking screws when performing long Gamma nail: Comparison with the freehand technique. The T2 IM Nailing Platform offers a combination of innovation, simplicity and versatility that is designed to suit your various needs. In addition to the T2 Femoral Nailing System, Stryker developed the T2 Supracondylar Nail (SCN) for the treatment of complex distal femoral fractures. Retrograde Nail Diverse Distal Screw Options for all fracture patterns. The T2 nailing platform is designed to treat a wide range of fractures in the upper and lower extremities. Distal screw only 6mm from distal tip. For further information please read our cookie policy. Titanium Distal Femoral Nail System. Page 11: Operative Technique. This will also allow easier access to entry point. The Retrograde Femur nail is designed to help treat various fractures of the femur. Mahwah, NJ 07430 . 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. 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. Care should be taken with the approach for retrograde nailing as several anatomical structures are at risk. Screws are placed through the nail to secure the implant in place and maintain length and alignment while healing occurs. The T2 IM Nailing Platform offers a combination of innovation, simplicity and versatility that is designed to suit your various needs. R. Ostrum 18:11 ... Stryker. T2 Tibial Nailing System . T2 Alpha Femur Antegrade GT/PF Nailing System . Standard Femoral Lock (130º standard FAN/Exchange) *From bone shaft centerline * Specifications TRIGEN FAN Nail Material TI6AL4V Diameter 10, 11.5, 13, 14.5 & 16mm Lengths 30-50cm, 36-44cm Nail Color - Left Lime Nail Color - Right Rose Cross Section Round Neck Angle 130º Proximal Diameter (driving end) 13mm (10, 11.5 & 13 diameter) Radiolucent targeting arms with easy assembly and friction lock technology. For further information please read our cookie policy. Threaded holes for 3 points of fixation of the cortical bone. The affected lower extremity and hip region are freely draped, and the knee is placed over a sterile bolster. Introduction&Rationale 3 2. 3 Incision The design of the T2 Recon Nail, with a 4° medial lateral bend, will only allow for insertion through the tip of the greater trochanter. A nail was deemed compatible if the retrograde femoral IM nail was positioned appropriately into the femur through the femoral prosthesis. 1 ), and whether excess force was required to insert the retrograde femoral IM nail were recorded. 14 Sept 2012. 1. In retrograde approach, the Expert Retrograde/Ante-grade Femoral Nail is indicated for fractures in the distal femur: • 33-A1/A2/A3 • 33-C1/C2/C3.1 For the 33-C fractures, the Expert Retrograde/Antegrade Femoral Nail should be used in combination with other implants (not shown in the illustration). The T2 IM Nailing Platform offers a combination of innovation, simplicity and versatility that is designed to suit your various needs. Vol 94-B Supp XXXVII. Phone: 201-831-6461 . This will allow knee flexion. If the fracture has shifted a part of the femur, the bones are realigned. The 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. Stryker Osteosynthesis has created a new generation locking nail system, the S2 Femoral Nail A/R, bringing together all the capabilities and benefits of separate antegrade and retrograde nailing systems to create a single, integrated surgical resource for fixation of femoral fractures. Internal Lengthening Course | January | 30-31 | 2018Video and Editing: Nathaniel Ayzik, Spokesperson's Office, RHCC. Four locking holes in distal 32mm with three planes of fixation. Associate Manager, Regulatory Affairs . In addition to the indications for interlocking intramedullary nails, devices that use a retrograde femoral surgical approach (e.g. Inserting the Rod An intramedullary rod is inserted into the top of the femur and guided down through the fracture site and into the bottom portion of the bone. Details including whether the nail was scratched by the femoral TKR prosthesis on insertion ( Fig. The 2 proximal holes, each utilize 6.5mm cannulated Lag Screws. In addition to the T2™ Femoral Nailing System, Stryker Trauma developed the T2™ Supracondylar Nail (SCN) for the treatment of complex distal femoral fractures. Nails are available in outer diameters of 9mm, 10.5mm, 12mm and 13.5mm for applications December 28, 2012 ... Retrograde Femoral Nailing - Utilizing Percutaneous Reduction Techniques Feat. If you continue to browse this website, we will assume that you are happy to receive all our cookies. fractures, ipsilateral femoral and tibial shaft fractures, supracondylar and intercondylar fractures, may be better managed by utilizing retrograde femoral nailing techniques. cases, which was the Stryker T2 Universal femoral nail. T2 Alpha Femoral Nail GT Nail diameter Ø9mm – Ø15mm* Nail length 240mm – 480mm in 20mm increments Compression Screw Femur Femoral Nail GT Additional Information Set Screw End Caps** +5mm (Ø13mm) +10mm (Ø13mm) +15mm (Ø13mm) +20mm (Ø13mm) +0mm (Ø8mm) IMN Screws Locking Screw Ø5mm, 25mm – 120mm length 25mm - 60mm in 2.5mm … Accessing the Femur An incision is made on the side of the hip to allow access to the top of the femur. Type II annodization allows for enhanced fatigue strength 1. We use cookies to customize content for your viewing and for analytics. T2 Femoral Nail System ... To evaluate the postoperative knee function and results of unreamed retrograde nailing for distal third femoral … Intramedullary nail for treating diaphyseal and supracondylar fractures. Because the smallest distal diameter of retrograde nails is 11.5 mm for the T2 supracondylar nail (Stryker) and the TRIGEN short knee nail (Smith & Nephew, … The S2 Femoral Nail A/R is designed as One Implant … The T2 Recon Nail features a 125° CCD angle with a 10° anteversion angle. Jemin Dedania . Retrograde Femoral Nails. Active internal compression. General considerations. With experience, the tip … The T2 IM Nailing Platform offers a combination of innovation, simplicity and versatility that is designed to suit your various needs. The Acutrak 4/5's taper may help minimize patient discomfort and is a smart choice for Jones fractures and nonunions. Ream less bone proximally at 13mm. Recon Nail is made of Type II anodized Titanium Alloy (Ti6Al4V) for enhanced biomechanical and biomedical performance*. 2 Contents 1. Four locking holes in distal 32mm with three planes of fixation, End cap for distal end of nail creates fixed angle construct with distal screw, Message from our President and Chief Operating Officer. universal retrograde femoral nail is composed of titanium alloy that incorporates a 1.8m radius of curvature and a 5° distal bend, that is initiated at 45mm from the driving end. Two set screws allows for increased versatility, The Distal Targeting System allows for guided distal locking for our Gamma 3 long and T2 Recon nails, Message from our President and Chief Operating Officer, May reduce x-ray exposure and improve OR efficiency, Radiolucent design is compatible with existing targeting handle, May provide additional working space due to 30 degree C-arm alignment, Adam et al. 325 Corporate Drive . 2545 Selzach / Switzerland . February 23, 2021 . Titanium Cannulated Retrograde/Antegrade Femoral Nail Expert System Surgical Technique DePuy Synthes Trauma 13 retrograde approach—opening the distal femur 7 Insert guide wire Instruments 03.010.115 3.2 mm guide Wire, 290 mm 03.010.500 handle for Wire guides/protection Sleeves 03.010.502 13 mm protection Sleeve for retrograde nail T2 Supracondylar Nailing System. femoral nailing techniques (3,4,5,6,7). Bohnackerweg 1 . This enhanced design will continue to offer both simplicity and efficiency while allowing you to achieve more with less. This CCDangle allows easy insertion of the 2 lag screws into the femoral head. Sizes range from 9-14mm. better managed by utilizing retrograde femoral nailing techniques. Outcomes for retrograde nails are very similar to outcomes for antegrade nails. We use cookies to customize content for your viewing and for analytics. Intramedullary nail for treating proximal femoral and diaphyseal femur fractures. IndicationsandContraindications 4 3. Fax: 201-831-6020 . If you continue to browse this website, we will assume that you are happy to receive all our cookies. Watch a clip from the Retrograde Nailing of the Femur video from Tornetta, Rockwood and Green's Fractures in Adults, 9e. The retrograde nail length is determined by measuring the distance between a point 5mm–15mm proximal to the intercondylar notch to a point at/or proximal to the lesser trochanter . Retrograde nailing approach. The Acumed Acutrak 4/5 provides a method of fixation for medium to large bones, where a 6.5 mm headed screw or equivalent-sized headless screw would otherwise be required. But, retrograde nails may be advantageous for distal third fractures. Common instrumentation platform. The T2 Alpha Femur Antegrade GT/PF Nailing System introduces a hybrid-implant concept, providing you with versatile locking configurations in a consolidated implant offering. The TRIGEN™ META-NAIL™ Retrograde Femoral Nail is indicated for fractures of the femur including stable and unstable distal metaphyseal fractures, diaphyseal fractures, intra-articular fractures, peri-prosthetic fractures, non-unions, mal-unions and for the prophylactic nailing of impending pathological fractures. Stryker GmbH . The Narrated, annotated lecture 2 of 3 on distal femur fractures from the OTA resident lecture series (narrated by Saqib Rehman, MD), from Orthoclips.com. Recon vs. antegrade targeting device. The T2 Supracondylar Nailing System offers the advantages of a unique locking configuration and targeting 7mm of Intra-operative or dynamic compression. Reducing Radiation Exposure in Hip Fracture Repairs with ADAPT for Gamma3 Short and long nail options available. The nail has multiple screw holes in the distal body to allow surgeons to address different fracture types. Trochanteric Antegrade Nail and Femoral/ Recon Antegrade Nail) are indicated for the following: subtrochanteric fractures, intertrochanteric fractures, and ipsilateral femoral shaft/neck fractures. The body part is joined together by fixation device, bone graft or other means.) The 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 retrograde insertion. Fig. T2 Alpha Femur RetrogradeNailing System . Oblique screws that target into the femoral condyles for condylar fractures. Features&Benefits 5 Nails 5 Instruments 5 Trays 5 MaterialAdvantages 6
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