If using the sureshot distal targeting system, be sure to read and understand the trigen sureshot distal targeting system user manual ref 71181540. Seven adult male and caucasian cadavers with both intact upper extremities were involved the study. The trigen humeral nailing system product offering includes a 16cm proximal straight nail, a 16cm proximal bent nail, and a full line of long bent nails. 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. The trigen meta nail retrograde femoral nail is indicated for fractures of the femur including stable and unstable distal metaphyseal fractures, diaphyseal fractures, intraarticular fractures, periprosthetic fractures, nonunions, malunions and for the prophylactic nailing of. We described the technique of percutaneous antegrade nailing for humeral shaft fracture in a medialized insertion point at the apex of the humeral head through an anterior acromioclavicular approach to decrease nail insertion complications and shoulder pain with minimal incisions. Download download trigen humeral nail surgical technique pdf writer read online read online trigen humeral nail surgical technique pdf writer official fulltext paper pdf. Rehabilitation goals protect repair minimize pain and swelling maintain rom of surrounding joints. With multiplanar screws that are threaded into the nail and designed to inhibit proximal screw backout, and effective, simple instrumentation designed to help protect soft tissues, the trigen humeral nail system offers. After removal, the first 4 procedures of each surgeon, 100 fractures were. Surgical technique multiloc humeral nailing system 2 ao principles 4 indications 5 screw configuration 6 multiloc proximal humeral nail short 6 multiloc humeral nail long 8 clinical cases 10 preoperative planning patient positioning and approach 14 entry point 18 opening of the humerus 20 open medullary canal 20 reduce fracture and ream.
To allow easy access to the proximal humerus, it is helpful and recommended to place the carm on the opposite side of the table of the injured limb. The t2 proximal humeral nail is intended to be used for various types of proximal andor diaphyseal fractures of the humerus. In contrast, the german section of the aointernational reported 10% iatrogenic radial nerve injuries and 3. Our experience in 19 patients treated for humeral shaft fracture in 18 months. The titanium flexible humeral nail system technique guide for. Removal of a broken trigen intertan intertrochanteric. Intramedullary nailing, which has been used by many surgeons in the treatment of humeral nonunions 4,5, is an accepted technique for the treatment of humeral diaphyseal nonunion, and is also an. Do not operate the trigen sureshot targeter within 200mm of an installed pacemaker.
Electromagnetic distal targeting system does not reduce the overall. Diaphyseal humeral fractures and intramedullary nailing. Download the trigen hindfoot fusion nail surgical technique. In conclusion, the trigen intramedullary humeral nail is effective for the treatment of proximal humeral fractures. In the correct clinical setting, humeral nailing provides an expeditious form of fixation that restores length, alignment, and rotation of the fracture humeral diaphysis. Types of fractures include, but not limited to fractures of the humeral shaft, nonunions, malalignments, pathological humeral. Materials and methods seven cadavers were used with both shoulders and surgical application of two nails was performed as the manufacturer guide. Proximal humeral nail diaphyseal humeral nail 79 mm 5. The duration of application of the screws was also compared within two different design. Whereas many fractures can be treated nonoperatively, some authors estimate that 15% to 64% of proximal humerus fractures are displaced and may warrant surgical treatment.
Results of the t2 humeral nailing system with special focus. The t2 proximal humeral nail is intended for single use only. The optimal surgical treatment for displaced proximal humeral fractures continues to be controversial. Trigen sureshot distal targeting system, the trigen sureshot distal targeting system user manual ref 71181540. Fluoroscopic freehand and electromagneticguided targeting system for distal locking screws of humeral intramedullary nail.
Short and long humeral nail medin proximal humeral nails. Humeral shaft fracture, humeral nail, sureshot, locking nail, screw nail. The humeral nail system can be used with or without the sureshot distal targeting system. The trigen sureshot distal targeting system utilizes an electromagnetic field generator, a probe inserted into the nail, and virtual imaging to facilitate distal locking without fluoroscopy. More variants of locking allow good fixation of short fragments and optimal reposition of the fractures. In the humerus, the proximal and distal joints are situated in line with the medullary canal. Intramedullary locking nail fixation of proximal humerus. Solid humeral nail uhn and proximal humeral nail phn. Apr 21, 2017 humeral shaft fractures 2 surgical techniques. Surgical technique 6 catalog information 19 trigen hindfoot fusion nail surgical technique. Note as template magnification levels are set at 117%, all measurements are estimates of true size. Short humeral nails the short humeral nail enables osteosynthesis of armbone head.
Exposure and nail insertion were performed using the surgical technique recommended by each nail manufacturer, using fluoroscopy in order to. Examples of specific indications according to ao classification include type afractures, dislo. Although based on the wellknown t2 platform, the t2 proximal humeral nail design incorporates a number of unique features. All pdf files and may take some time to load be patient. The management of humerus metastasis is to alleviate patients symptoms and maintain function, and surgical approach has benefits by reducing local pain and early mobilization 1, 2. Trigen humeral nailing includes a 16cm proximal straight nail, a 16cm proximal bent nail, and a full line of long bent nails. These low profile plates with polyaxial bushings provide freedom to direct the locking screws within the anatomical template, based on the fracture pattern and bone quality for better fixation. The compliance of the nail construct was adjusted by overdrilling the near cortex reliable fracture union since the surgeon can. The trigen hfn advantage allows surgeons to target screws through. 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. 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.
It is a computerassisted orthopaedic surgery tool to aid the surgeon with drill positioning for screws during intramedullary nail implantation. The trigen hfn features an oblique locking configuration that allows surgeons to maximize thread. Secondary complications were minimal and observed in only 6 of 54 patients. 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. Furthermore, the development of the t2 humeral nailing system offers the competitive advantages of. Trigen humeral nail proximal and long trigen hindfoot nail. Aug 18, 2015 short humeral nails the short humeral nail enables osteosynthesis of armbone head. Intramedullary im nail fixation is the main treatment for long bone and humeral metastases 3,4,5. The technique is easy to perform and has significant benefits in minimizing surgical exposure, decreasing operative time and decreasing blood loss. 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. Pdf intramedullary nailing of humeral shaft fractures. The titanium flexible humeral nail system technique guide for antegrade or retrograde insertion synthes on. Multiloc humeral nails provide a comprehensive system for the treatment of humeral fractures. Pdf intramedullary nailing of the proximal humerus.
Distal locking screws for trigen proximal 16cm humeral nails. Computerbased calibrated software provides perfect circle targeting 2. Insafelock humeral nail would be safer than trigen humeral nail in terms of neurovascular injury. Types of fractures include, but not limited to fractures of the humeral shaft, nonunions, malalignments, pathological humeral fractures, and impending pathological fractures. The titanium flexible humeral nail system technique guide for antegrade or retrograde insertion. Verify the position and read the nail length directly off the ruler. One of the new treatment options is the minimally invasive intramedullary nail. Surgeons may need to make modifications as appropriate in their own surgical technique with these devices depending on individual patient requirements. Jointpreserving palliative surgery using selflocking screws of. Versanail humeral proximal nailing system sales sheet. In all patients of group 2 53 patients a trigen humeral intramedullary nail. The novel design of the aequalis im locking nail combines unique features that allow a less invasive surgical intervention, sustain the vascularization of the fracture fragments, angular stability of proximal fixation, and optimal screw orientation for fixation of the tuberosities.
The uniflex humeral nail system was developed in conjunction with ralph b. The aim of our study was to assess whether use of the trigen intertan nail, as compared with a sliding hip screw, resulted in less postoperative pain, improved functional mobility, and reduced. Surgical technique for the trigen humeral nail system using the trigen sureshot distal. 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. Humeral interlocking nail technique 524 kb external fixator. Our hypothesis was insafelock humeral nail would be safer than trigen humeral nail in terms of neurovascular injury. Appointments begin physical therapy at 1 week post op, 2 xweek follow up with md 1014 days post op. The goal of antegrade humeral nailing of proximal humerus fractures is to. 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. Trigen humeral nail surgical technique pdf writer telegraph. Insafelock humeral nail provides a safe application for.
The trigen metanail retrograde femoral nail is indicated for fractures of the femur including stable and unstable distal metaphyseal fractures, diaphyseal fractures, intraarticular fractures, periprosthetic fractures, nonunions, malunions and for the prophylactic nailing of impending pathological fractures. This brochure presents a surgical technique available for use with the biomet, inc. This brochure is presented to demonstrate the surgical technique utilized by ralph b. Percutaneous medialized approach for antegrade nailing for. The implant is made from titanium alloy which is friendlier to bone than steal alloys and fixation can avoid metal shielding effect. Intramedullary fixation of proximal humerus fractures. Trigen meta nail tibial nail system is available in full range of sizes is a comprehensive approach to the treatment of tibial fractures. One implant, two approaches stryker trauma has created a new generation locking nail system, bringing together all the capabilities and. The surgical technique is straightforward and is familiar to most pediatric orthopedists due to its widespread use in the treatment of other fractures in children 18, 2127. Biomet, as the manufacturer of this device, does not practice medicine and. Surgical stabilization of humeral shaft fractures in children, when indicated, can be safely performed using titanium elastic nails.
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. Uniflex humeral nail surgical technique zimmer biomet. Over the years, humeral nailing has been considered as a homogenous procedure, regardless of the type of nail or the surgical technique used. In both surgical approaches, the special hole geometry of the nail ensures an optimal position of the locking holes.
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. A new approach for the treatment of proximal humeral fractures using the trigen proximal humeral nail. The trigen humeral nail provides new possibilities for the treatment of proximal humeral fractures and humeral shaft fractures. The proximal section of the implant is mm and is angled at 5 to accommodate the more lateral entry site. Jointpreserving palliative surgery using selflocking. Instructions for use are found in the information that accompanied the product packaging. Surgical technique for nail removal article pdf available in acta orthopaedica belgica 752. Trigen humeral nail features include trapezoidal nail profile, four multiplanar proximal screws and multiple lengths bent and straight. The innovative screwinscrew technology offers customizable stability for the individual patient. Proximal humerus fractures are the third most common fracture in the elderly. Electromagnetic distal targeting system does not reduce the. Continuous visual realtime feedback of drill position ensures correct direction and angle 3. T2 proximal humeral nail is intended to provide temporary stabilization of various types of fractures, malunions and nonunions of the humerus.
Pdf fluoroscopic freehand and electromagneticguided. The trigen meta nail tibial nail system is designed specifically to repair fractures of the proximal and distal thirds of the tibia, including the shaft, stable and unstable fractures, nonunions, malunions, and for the prophylactic. Trigen humeral intramedullary nail the trigen humeral intramedullary nail brings the simplified instrumentation of the trigen nail system to the hindfoot. Modern proximal humeral nail designs and techniques assist the surgeon in adhering. A new approach for the treatment of proximal humeral. The trigen hfn features an oblique locking configuration that allows surgeons to maximize thread purchase by locking into better bone.
This revolutionary system is radiation free, position independent, and provides 3d real time feedback of location and orientation of the drill relative to. Nail size, screw length and femoral neck angle may be determined. May 21, 20 the mean neckshaft angle 1 year after surgery was 125 8. Modern proximal humeral nail designs and techniques assist the surgeon in adhering to. Works seamlessly with the proven trigen nail family. Guide are keyed to ensure proper orientation of the nail on the nail drill guide. 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. Surgical treatment of traumatic pediatric humeral diaphyseal. Trigen humeral intramedullary nail bmt medical devices. Meta nail, tan, fan, humeral, pediatric and adolescent nails.
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