Beside the t2 femoral nail with a 3m radius of curvature, stryker offers also a 1. The t2 supracondylar nail is a unique intramedullary nailing option for the treatment of complex distal femoral fractures. Operative technique t2 femoral nailing system entry point the 3. A wall chart 97249400300 is also available to help explain the color coding system. Femoral neck resection lay the stryker femoral resection guide figure 2 on the femur,using the lesser trochanter and the trochanteric fossa as landmarks when making the final cut. Stryker osteosynthesis has created a locking nail system, bringing together all the capabilities and benefits of separate antegrade and retrograde nailing systems to create a single, integrated surgical resource for fixation of longbone fractures. Adapt allows surgeons to see, adjust, and refine tip apex distance intraoperatively with.
According to the fracture type, the system offers the option of different locking modes. 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. Adapt is the only augmented reality instrumentation of its kind. Nail insertion nail holding screw the selected nail is assembled onto the femoral target device 18061005 with the femoral nail holding screw 18060165 fig. Stryker metaphyseal fixation and the next generation of cones in revision tka. Indications the zimmer natural nail system is intended for temporary fracture fixation. The long nail offers the opportunity to use two distal locking screws that are inserted through the. T2 recon nailing system 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. The t2 im nailing platform offers a combination of innovation, simplicity and versatility that is designed to suit your various needs. Previously described techniques for retrograde nail insertion, including exposure and start point, were followed using the stryker t2 femoral nail mahwah, nj. The color coding system is referenced in the technique.
In addition to the t2 nailing systems for femoral, tibial, and humeral fractures, stryker osteosynthesis has developed the t2 knee arthrodesis. The t2 supracondylar nailing system offers the advantages of a unique locking configuration and targeting concept, allowing superior fixation in the distal femur, using the already established t2 instrument platform and locking screws. The t2 gtn system is one of the first femoral nailing systems to offer an option for tip of greater trochanteric entry point insertion with the option to apply compression either by an external compression device or by an internal compression screw. Trigen metanail retrograde femoral nail system surgical technique. To complement the t2 nailing system, stryker osteosynthesis has created a humeral implant. Stryker has created a next generation locking nail system, bringing together all the capabilities and benefits of separate nailing systems to create a. Care should be taken to align the axis line of the neck resection guide to the center axis of the femoral shaft.
Furthermore, the development of the t2 humeral nailing system offers the competitive advantages of. Refer to the t2 femoral nailing system operative technique cat. Retrograde nailing of supracondylar periprosthetic femur. The sales rep further reported that t2 femoral nailing operational technique brochure which clearly shows the favored entry point for antegrade nail insertion is through the greater trochanter and.
Triathlon tritanium metaphyseal cones femoral fixation. The t2 nailing platform is designed to treat a wide range of fractures in the upper and lower extremities. Note as template magnification levels are set at 117%, all measurements are estimates of true size. Operative technique guided locking for the recon mode nail lag screws positioning drive the t2 recon nail to the depth that correctly aligns the proxi mal screw holes parallel with the femoral head and neck under fluoroscopic control fig. The patient had a previous motorcycle accident with a femoral diaphyseal fracture treated with an antegrade t2 recon nail stryker tm almost 2 years before the recent trauma. In addition to the t2 femoral nailing system, stryker developed the t2 supracondylar nail scn for the treatment of complex distal femoral fractures. Accolade ii femoral hip system surgical technique previously lsp76 hipaccolade ii. The affected lower extremity and hip region are freely draped, and the knee is placed over a sterile bolster.
The t2 supracondylar nailing system offers the advantages of a unique locking configuration and targeting concept, allowing superior fixation. System, stryker developed the t2 supracondylar nail scn for the treatment of complex distal femoral fractures. The core instruments of the t2 system provide the platform for all current and future stryker trauma nailing systems, thereby reducing complexity and inventory. The purpose of this article is to present a simple technique for suprapatellar nailing spn of tibial fractures providing stepbystep instruction supplemented with relevant illustrations. Animation adapt for gamma3 intertrochanteric fractures. The instruments are designed for a minimally invasive surgical technique and reduce or time to a minimum. Tighten the nail holding screw with the universal joint socket wrench 18060400 securely so that it does not loosen during nail insertion.
The instruments are easy to use and easy to clean, and they share the same platform as the stryker intramedullary t2 and s2 nails. The t2 knee arthodesis nail system is a long intramedullary nail designed for fixation of femur and tibia. The t2 tibial nailing system represents strykers latest and most comprehensive development of the original intramedullary principles presented by prof. The t2 tibial nailing system is the realization of superior biome chanical intramedullary stabilization using small caliber, strong cannulated implants for internal fixation of long bones.
T2 supracondylar nailing system operative technique target device features targeting arm, scn the targeting arm for the t2 scn is designed with one locking hole for all locking screws to be placed in the distal femur fig. Fractures involving the intertrochanteric region and subtrochanteric fractures were excluded, as open reduction was required. Stryker trauma, 18251030s, stryker t2 femoral nail, ar. Implant features the t2 scn system is the realization of superior biomechanical. Patients were positioned on the radiolucent or table in the supine position. It incorporates a curvature which allows the nail to curve the length of the limb and is compatible with other stryker t2 instrumentation. Stryker trauma, 182532s, stryker t2 femoral nail, ar. Surgical technique phoenix retrograde femoral nail system featuring corelock technology each nail features corelock technology, a preassembled embedded locking mechanism that allows four distal screws to be mechanically locked to provide enhanced distal femoral fixation distal screws can be removed without disengaging the. T2 proximal humeral nail, t2 supracondylar nail, t2 recon nail, the indications have extended from shaft fractures to fractures of the metaphyseal regions.
As an addition to the t2 nailing system, stryker trauma has created a new generation femoral implant. With the condyles secured, the entry point for retrograde nail in sertion is made by centering the 3. This enhanced design will continue to offer both simplicity and efficiency while allowing you to achieve more with less. What is hip replacement if nonsurgical treatments like physical therapy and medication dont bring relief, your doctor may recommend hip replacement. T2 femoral nailing system operative technique patient positioning retrograde nail insertion is performed with the patient supine on a radiolucent table. Headed nail impactorextractor 65414575 headed nails 34 65414515 headed nails. Intramedullary nail for treating proximal femoral and diaphyseal femur fractures. Although based on the wellknown t2 platform, the t2 proximal humeral nail design incorporates a number of unique features. The t2 im nailing platform offers a combination of innovation. One implant, two approaches stryker has created a next generation locking nail system, bringing together. Stryker trauma has created a new generation locking nail system, bringing together all the capabilities and benefits of separate antegrade and retrograde nailing systems to create a single, integrated surgical resource for fixation of longbone fractures. Femoral recon nail system frn surgical technique depuy synthes 11 2.
Before the operation, it is recommended to examine patellar laxity on the injured leg, or as an alternative the healthy leg. T2 alpha the t2 alpha femur antegrade gt pf nailing system introduces a hybridimplant concept, providing you with versatile locking configurations in a consolidated implant offering. They are strong and lightweight to promote both healing and patient comfort. Anamnestic data revealed full weight bearing without aids and full return to everyday life at the latest followup outpatient evaluation 18 months after surgery. Adapt for gamma3, software based instrumentation for the gamma3 procedure. Considered one of the most successful orthopaedic innovations of its time, hip replacements have been performed for more than 125 years.
A major advantage of the system is the newly designed instrument platform. The t2 recon nail is the realization of excellent biomechanical intramedullary stabilization for internal femoral fixation with several locking options to address fracture variability. Partial knee implants may not provide the same feel or performance characteristics. T2 nailing our history of continuous evolution and surgeon partnership has resulted in the comprehensive t2 nailing platform to treat a wide range of fractures in the uppper and lower extremities. The t2 femoral nailing system offers a universal left and right nail in addition to an antegrade or retrograde approach that may reduce inventory. Besides the t2 femoral nail with a 3m radius of curvature, stryker offers also a 1. The customer reports via the sales rep, that the t2 femoral nailing operational technique brochure indicates an inappropriate surgical technique. Operative technique the t2 arthrodesis nail is inserted with the existing t2 femoral instrument set. In addition to the t2 femoral nailing system, stryker trauma developed the t2 supracondylar nail scn for the treatment of complex distal femoral fractures. T2 supracondylar nailing system cambridge orthopaedics. Accolade surgical protocol previously lasst adm x3 mobile bearing hip system surgical protocol for us previously lsp64 hiprestoration adm. Sixteen patients had proximal femoral fractures and 23 patients had femoral metastases. A severely painful andor disabled hip joint as a result of osteoarthritis, traumatic arthritis, rheumatoid.
We are a liquidator of sutures and other surgical items from ethicon, covidien autosuture, synthes, stryker, arthrex and are able to pass our savings on to you. Implant related risks which may lead to a revision of the implant include dislocation, loosening, fracture, nerve damage, wear of the implant, metal andor foreign body sensitivity, osteolysis localized progressive bone loss, and reaction to particle debris. While femoral intramedullary nailing, the fractured extremity usually needs to be positioned in full adduction during surgery for nail entry, reduction, and locking owing to hardware in the proximal incision. In addition to the t2 nailing systems for femoral, tibial, and humeral fractures, stryker osteosynthesis has developed the t2 knee arthrodesis nail and, more recently, the t2 ankle arthrodesis nail to provide the option for tibiotalocalcaneal fusion with a retrograde intramedullary nail. The software assists the surgeon with implant alignment, lag screw length determination, lag screw positioning, and distal targeting. Proximal femoral nail pfn are used to fix pertrochanteric, intertrochanteric, high subtrochanteric and transcervical fractures of the femur. Surgical technique implant selection the trigen tan 71180884 and trigen fan 71180497 radiographic templates may be used to assist with preoperative implant selection. Nail length, locking screw length and nail cap size may be determined. Stryker t2 knee arthrodesis nail system which medical. The phoenix retrograde femoral nail system features corelock technology, a preassembled, embedded locking mechanism that allows the four distal screws 2 transverse and 2oblique to be mechanically locked to provide enhanced distal femoral fixation. Greater trochanter piriformis fossa approaches for. Furthermore, the development of the t2 femoral nailing system. 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.
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