Note as template magnification levels are set at 117%, all measurements are estimates of true size. Because the smallest distal diameter of retrograde nails is 11. Semiextended intramedullary nailing of the tibia using a. Trigen meta nail tibia trigen meta nail femur trigen knee nail retrograde femoral technique 3. The technique described herein is made available to the healthcare professional to illustrate the authors suggested treatment for the uncomplicated procedure. Trigen meta nail tibial nail specifications distal end of nail all knee and distal tibial top view of nail nondriving end of nail ap view ml view set does not include all sizes. Download download trigen humeral nail surgical technique pdf writer read online read online trigen humeral nail surgical technique pdf writer official fulltext paper pdf. Results of femoral intramedullary nailing in patients who. Unique fivehole proximal locking configuration allows femoral or recon locking modes in one nail. A trigen knee fusion nail smith and nephew, memphis, tn, united states is prepared with an antibiotic cement coating utilizing silicone tubing as described by thonse et al and a static antibiotic cementcoated spacer is fashioned to fit the knee joint gap. Operative data for all 151 patients included implant characteristics, insertion technique, surgical time, and fluoroscopy usage time.
Advanced concepts in knee arthrodesis pubmed central pmc. A compatibility study using the trigen supracondylar nail. With a finger in the knee joint, an additional digital check is made that the nail cannot be felt, and simultaneously the cartilage on the patella and the femur can be checked for damage figure figure14. Trigen intertan features include integrated interlocking screw configuration, trapezoidal shape in the proximal femur for a pressfit, learn more here. The trigen metanail tibial nail is indicated for fractures of the proximal and distal third of the tibia, including the shaft, stable and unstable metaphyseal fractures, nonunions, malunions, and for the prophylactic nailing of impending pathological fractures. A comparative study of trigen intertan nail intertan and proximal femoral nail antirotation 2 pfna2 in the patients with intertrochanteric fractures january 2016 doi. Trigen humeral nail surgical technique pdf writer telegraph. Furthermore, the development of the t2 femoral nailing system offers the competitive advantages of. Indications include transverse, comminuted, spiral. The metatan system expands the clinically proven trigen nail portfolio with a versatile design that addresses a wide range of femoral fractures ranging from specific hip fractures to midshaft. With the semiextended instruments, the surgeon is still able to use the blocking screw attachments to create an artificial diaphyseal canal and help prevent nail translation as the patient begins to move and. Can you align a tibia using finesse, and not force.
Trigen metanail instrumentation bmt medical devices. The device may also be used to support the bone in the presence of a pathological condition, or for knee arthrodesis. Note this technique deals with the joint space around the knee. 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 tibial nail is the latest addition to the trigen family of intramedullary nails. Antegrade femur retrograde femur 42 mm 5 mm 14 mm 23 mm 24 mm 50 mm 30 mm telescoping rod also available with a.
Nail length, locking screw length and nail cap size may be determined. Moreover, the distance from the anterior femoral osteotomy phase to the anterior edge of the open. 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. Expert retrogradeantegrade femoral nail surgical technique depuy synthes 11 3 measure for length and diameter of nail instruments 03. Trigen intertan can also be used as an intramedullary and cephalomedullary nailing system. Expert tibial nail to estimate nail diameter and nail length. Allison chan regulatory affairs specialist ii 1450 e. Trigen humeral nail proximal and long trigen hindfoot nail. It is a computerassisted orthopaedic surgery tool to aid the surgeon with drill positioning for screws during intramedullary nail implantation. Trigen intertan intramedullary nail versus sliding hip screw. Retrograde nailing for supracondylar fracture around total knee replacement. Trigen intertan is an intertrochanteric antegrade proximal femoral nailing system used to treat hip fractures.
Surgical technique for nail removal article pdf available in acta orthopaedica belgica 752. Knee arthrodesis using an intramedullary nail request pdf. Locking is the same as standard knee nail except for 50mm. Proximal femoral nail in proximal femoral fractures a prospective comparative study, j res med dent sci, 2017, 5 2.
Trigen knee nail and distal tibial nail specifications 1535mm nondriving end of supracondylar knee nail ml view 10 driving end of nail all knee nails and distal tibia nondriving end of nail ml view note. The trigen knee nail is indicated for shaft fractures between the proximal and distal third of the femur. When using 10 mm nails, ream the first 8cm proximally to 14mm to accept the larger diameter proximal end of the nails. 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. Pdf comparison of intertan nail vs proximal femoral nail. Tibia nail, sterile a sterile rod made of metal or other material which, when inserted into the intramedullary canal of the tibia, acts to immobilize by holding the ends of a fractured bone in position to promote healing. Specifications trigen meta nail retrograde femoral material ti6al4v diameter 10, 11. The trigen metanail tibial nail is indicated for fractures of the proximal and distal third of the tibia, including the shaft, stable and unstable factures, nonunions, malunions and for the prophylactic nailing of impending pathological factures. Trigen im nail system surgical technique knee nail for retrograde femoral mode nota bene. To estimate nail length, place the template on the ap.
Anterior knee pain after intramedullary nailing of the. Trigen trochanteric antegrade nail tan specifications. The trigen knee fusion nail is one of the trigen series of intramedullary nails. The nail is titanium and is intended to be inserted from proximal to distal. 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. Russelltaylor deltatibial interlocking nail technique 598 kb recon interlocking. This revolutionary system is radiation free, position independent. This revolutionary system is radiation free, position independent, and provides 3d real time feedback of location and orientation of the drill relative to. Antegrade and retrograde femur operative technique. Retrograde nails trigen knee nail were inserted through an intraarticular intercondylar starting point. Driving end of nail all knee nails and distal tibia. The trigen sureshot distal targeting system utilises an electromagnetic field generator, a probe inserted into the nail, and virtual imaging to facilitate distal locking without fluoroscopy. Nail is indicated for fractures of the femur including stable and unstable distal metaphyseal fractures. 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.
The semiextended instrumentation still utilizes all the benefits of the trigen metanail system. Retrograde nailing for supracondylar fracture around total. Enhanced fixation via threaded screw holes and polyethylene bushings offer better solutions for the fixation of complex fractures. Trigen humeral nail features include trapezoidal nail profile, four multiplanar proximal screws and multiple lengths bent and straight. To estimate nail diameter, place the template on the ap or lateral xray of the uninjured tibia and measure the diameter of the medullary canal at the narrowest part that will contain the nail. The trigen knee nail is indicated for shaft fractures between the proximal and distal third of the tibia. Retrograde intramedullary nailing with a blocking pin. One matched pair of fresh frozen human cadaver tibias was obtained for this study. The first report of a supracondylar femoral fracture with an ipsilateral total knee replacement tkr was by hirsh et al. Nailing in extension for trigen metanail tibial nails. Surgical technique implant selection the trigen tan 71180884 and trigen fan 71180497 radiographic templates may be used to assist with preoperative implant selection. With a full range of sizes, the tibial nail is a comprehensive approach to the treatment of tibial fractures.
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