Jul 24, 20 a retrospective cohort of 48 patients treated for humeral diaphyseal fractures at the university hospital of parma between 2007 and 2011 was analysed. 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. Insert the nail until the nail tip protrudes only slightly into the humeral head. Distal humeral component distal end accepts bearing insert, axle bushing and axle pin and provides an. Pdf intramedullary nailing of the humerus is controversial. The accused product in acumed i was stryker s t2 proximal humeral nail t2 phn, which is used to treat proximal humeral bone fractures. T2 proximal humeral nail is intended to provide temporary stabilization of various types of fractures, malunions and nonunions of the humerus. Expert humeral nail and expert proximal humeral nail. Download pdf proximal humerus fracture plate, nail or replace. This brochure is presented to demonstrate the surgical technique. Nevertheless, modern humeral nail families include both a diaphyseal nail and a proximal nail expert humeral nail ehnao or t2 humeral nail stryker and others. Us5472444a humeral nail for fixation of proximal humeral.
Short 150 mm and long 185320 mm, in 15 mm increments. Short humeral nails the short humeral nail enables osteosynthesis of armbone head. Radiolucent targeting arms with easy assembly and friction lock technology. System, stryker osteosynthesis has created a humeral implant. Indications the t2 humeral nail is intended to provide temporary stabilization of various types of fractures, malunions and nonunions of the humerus. Fractures of the proximal humerus including 2part surgical neck fractures, 3part fractures and 4part fractures.
Besides, the simpler upper third fractures can also be treated as the proximal end of the nail provides three horizontal and an oblique locking positions. We continue to build upon our legacy of continuous design enhancements to ensure that our trusted portfolio meets your needs today and in the future. Proximal humerus fractures are one of the most common fractures. Fixation is often difficult to satisfactorily achieve around the intramedullary device, whilst minimising soft tissue disruption. One implant, two approaches stryker trauma has created a new generation locking nail system, bringing. Intramedullary nail for treating humeral shaft fractures.
The purpose of this investigation was to document the clinical outcome and complications associated with the use of an antegrade intramedullary nail t2, stryker for the humeral fractures. Inclusion criteria were 1 acute humeral shaft fractures treated with t2proximal humeral nail phn and 2 a minimum followup of one year. Although based on the wellknown t2 platform, the t2 proximal humeral nail design incorporates a number of unique features. Centronail humeral instruments box, complete 1789911. Mrs upper extremity surgical protocol mrs distal humerus the mrs distal humerus and ulna system is designed for a universal fit with the mrs proximal humerus system and solar ulna components.
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. Treatment of humeral shaft fractures with antegrade. The talon distalfix humeral nail system is indicated to aid in the alignment and stabilization of humeral fractures, including. To complement the t2 nailing system, stryker osteosynthesis has created a humeral implant. Senior trauma surgeon murnau trauma center murnau germany rosemary buckle, m. Although axillary nerve injury has been reported, no study has compared the safety of the proximal locking options relative to the axillary nerve and the ascending branch of the anterior circumflex artery. Intramedullary nailing for displaced proximal humeral. Multiloc humeral nails provide a comprehensive system for the treatment of humeral. Our objective was to investigate the clinical and radiographic results of the internal fixation using polarus humeral nails for fractures of the proximal humerus. Although based on the wellknown t2 platform, the t2 proximal humeral nail design incorporates a. Solid humeral nail uhn and proximal humeral nail phn. The butt portion has transverse holes oriented at selected angles to receive.
T2 humeral nailing system contributing surgeons rupert beickert, m. Internal fixation of proximal humeral fractures with a. The thickness of the nail was chosen to be approximately one third of the. Surgical management of proximal humerus fractures remains controversial and there is an increasing interest in intramedullary nailing. It has not been tested for heating or migration in the mr environment. Stryker osteosynthesis bone screws are not approved or intended for screw attachment or fixation to the posterior elements pedicles of the cervical, thoracic or lumbar spine.
Development of humeral intramedullary fixation nail hifn based on korean cadaveric tests 1changsoo chon, 2cheolwoong ko and 3jongkeon oh 1biomedical engineering institute, solco biomedical co. Aug 18, 2015 short humeral nails the short humeral nail enables osteosynthesis of armbone head. Instruments and implants approved by the ao foundation. 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 thickness of the nail was chosen to be approximately one third of the diameter of the humeral marrow cavity. Solid humeral nail uhn and proximal humeral nail phn surgical technique. Minimally invasive fixation for proximal humeral fracture. This case demonstrates a softtissue sparing technique of humeral shaft fixation using a humeral intramedullary nail. A humeral nail for the surgical care of fractures of the proximal humerus, with a shaft which has a longitudinal axis and is provided in a proximal portion with at least transverse bores spaced apart in the axial direction. Internal fixation of proximal humerus fractures using the. These courses are to offer training and education on the safe and effective use of aforementioned stryker products.
Pdf intramedullary nailing for displaced proximal humeral. Distal humeral periprosthetic fractures below intramedullary nail devices are complex and challenging to treat, in particular due to the osteopenicporotic nature of bone found in these patients. Uniflex humeral nail surgical technique the uniflex humeral nail system was developed in conjunction with ralph b. Download download trigen humeral nail surgical technique pdf writer read online read online trigen humeral nail surgical technique pdf writer official fulltext paper pdf. Flexible intramedullary nailing for treatment of proximal humeral and humeral shaft fractures in children. The compliance of the nail construct was adjusted by overdrilling the near cortex reliable fracture union since the surgeon can. The technique is easy to perform and has significant ota video library humeral shaft fracture. One implant, two approaches stryker trauma has created a new generation locking nail system, bringing together all the capabilities and. Modern proximal humeral nail designs and techniques assist the.
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. The talon distalfix humeral nail system has not been evaluated for safety and compatibility in the mr environment. Download pdf proximal numerus fracture plate, nail or replace. Stryker began to sell its accused humeral nail in the united states in early 2004.
Types of fractures include, but not limited to fractures of the humeral shaft, nonunions, malalignments, pathological humeral fractures, and impending pathological fractures. Intramedullary locked nailing is becoming a popular alternative treatment, especially for easier fracture patterns. Verify the position of the nail with the image intensifier. Stryker gamma3 and t2 intramedullary nailing 2011 surgeon course program surgery transmission and cadaver demonstration. With categoryleading technology, intuitive instrumentation and marketleading support, we bring you the complete nailing portfolio you can trust. Uniflex humeral nail surgical technique zimmer biomet. Download pdf references comparative testing is on file at depuy synthes. No radiographic evidence of osteonecrosis of the humeral head was identified. Download pdf small fragment lcp inventory control form. Humeral nailing system stryker pdf catalogs technical. Trigen humeral nail surgical technique pdf writer telegraph. More variants of locking allow good fixation of short fragments and optimal reposition of the fractures. Features and benefits proximal locking locking screws. We present a clinical prospective study evaluating this implant for proximal.
Internal fixation of proximal humerus fractures using the t2. Pdf proximal humerus fractures are the third most common fracture in the. Inclusion criteria were 1 acute humeral shaft fractures treated with t2proximal humeral. To evaluate outcomes of 28 patients who underwent intramedullary nailing for displaced proximal humeral fractures. Displaced or unstable fractures require open reduction and internal fixation. A retrospective cohort of 48 patients treated for humeral diaphyseal fractures at the university hospital of parma between 2007 and 2011 was analysed. Type ii annodization allows for enhanced fatigue strength 1. The cortical screws are not approved for screw attachment or fixation to the posterior element. The t2 nailing platform is designed to treat a wide range of fractures in the upper and lower extremities. The trigen humeral nail provides new possibilities for the treatment of proximal humeral fractures and humeral shaft fractures. Antegrade interlocked humeral nailing for stabilization of humeral fractures was introduced many years ago, and studies on this method in the orthopedic literature have shown mixed results. Fractures of the proximal humerus including 2part surgical neck fractures, 3part fractures and 4part fractures fractures of the proximal humerus with diaphyseal extension diaphyseal fractures of the humeral shaft impending pathological fractures 094228180628. An elongated tapered nail or rod having an elongated body with a curved tapered shank that may be secured within a proximal portion of the humeral shaft, with a contiguous butt portion of the nail extending proximally from the shank to provide a solid foundation to which the humeral head fragments may be secured. Pdf intramedullary nailing of the proximal humerus.
The technique is easy to perform and has significant benefits in minimizing surgical exposure, decreasing operative time and decreasing blood loss. Titanium nail is hammered down inside humeral shaft and across fracture site. Stryker gamma3 and t2 intramedullary nailing gamma 3. 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. Surgical technique and early outcomes of intramedullary. System, stryker trauma has created a new generation humeral implant. We recognize that the internet is a global communications medium. Humeral nail designs have undergone significant innovation during the past 40 years and now can provide stable fixation in the humeral shaft distally as well as improved stability in the head and tuberosity fragments, which were the common site of. Two nails of the same diameter were introduced into the humeral medullary canal and advanced beyond the fracture site, up to the proximal metaphysis of the humerus. Surgical technique and early outcomes of intramedullary nailing of. Intramedullary fixation of proximal humerus fractures. Descriptions of such cases in the current literature are very rare. The humeral nail of medimetal was developed to treat variously located diaphyseal fractures. We help you diagnose your humeral shaft case and provide detailed descriptions of how to manage this and hundreds of other pathologies.
Gilbert taglang, multidisciplinary trauma surgeon, consultant designer of strykers. The t2 humeral nail offers multiple locking modes static, controlled dynamic and. This allows the insertion of a lateromedial locking bolt into the humeral head distally to the rotator cuff. Diaphyseal fractures of the humeral shaft proximal humeral fractures with diaphyseal extension impending pathologic fractures relative ontraindications the following conditions may present an. Intramedullary nailing of humeral head and humeral shaft. Humeral nail designs have undergone significant innovation during the past 40 years and now can provide stable fixation in the humeral shaft distally as well as improved stability in the head and tuberosity fragments, which were the common site of fixation failure with earlier generation implants. Humeral shaft fractures and nailing approach there is still an ongoing discussion about the approach for humeral nailing 12, 19. The humeral nail system can be used with or without the sureshot distal targeting system.
Between january 1, 2014, and august 1, 2015, patients who presented to ktph with acute closed displaced proximal humeral fractures were recruited and evaluated for eligibility. To complement the t2 nailing system, stryker trauma has created a new generation humeral implant. More variants of locking allow good fixation of short fragments and. In april 2004, acumed filed suit against stryker in the district of oregon, alleging infringement of claims 1, 35, 10, 11, and 1417 of the 444 patent. However, anatomic alignment of humeral proximal fractures depends upon the position of the entry site, the angle of the entry nail and the pathology of the humeral head fracture, if present. Created to improve previous designs, the t2proximal humeral nail phn stryker has been recently released, and the english literature lacks a series evaluating its results. Short and long humeral nail medin proximal humeral nails. May 05, 2015 repair of traumatic humeral fracture with titanium rod nail and screws. Manca, md short proximal humeral nail long proximal humeral nail removal of the handle and closure diaphyseal humeral nail. The multiloc depuy synthes humeral nail short was introduced and approved for use in our local healthcare setting since the beginning of 2014. Technique guide this publication is not intended for distribution in the usa. This information is intended for use by customers, patients, and healthcare professionals in the united states only. Flexible intramedullary nailing for treatment of proximal.
United states court of appeals for the federal circuit. The nail insertion process must also align humeral proximal fractures. The axis of the three bores are circumferentially offset in respect to each other in planes perpendicular to the longitudinal axis of the shaft. Repair of traumatic humeral fracture with titanium rod nail and screws.
The newly designed locking nail for the proximal humeral fracture is a fixed angle device. Intramedullary nail for proximal humerus fractures. Humeral shaft fractures treated with antegrade intramedullary. Our trauma and extremities portfolio offers you marketleading implants for the treatment of long and small bone fractures, as well as extremity joint replacements. The 444 patent is directed to an intermedullary nail for fixing fractures of the proximal humeral cortex.
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