We combined the search terms proximal humeralhumeral fracture, internal fixationlocking plate fixation, and intramedullary nailnail. 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. The nail must act as a mechanical strut to support humeral head fragments. The t2 tibial nailing system is the realization of superior biomechanical intramedullary stabilization. A new proximal humeral nail with multiple screw placement option. 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. Between may 2005 and june 2006, we operated 29 2part humeral fractures. 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. Controlled compression nailing for at risk humeral. The selection of the implant was not randomized, but it was surgeon choice. Metaanalysis of locking plate versus intramedullary nail for. One implant, two approaches stryker trauma has created a new generation locking nail system, bringing. The trigen humeral nail system is designed specifically for the treatment of proximal humeral fractures and humeral shaft fractures, and is indicated for the repair of nonunions, malalignments, pathological humeral fractures, and impending pathological fractures.
Trigen humeral intramedullary nail bmt medical devices. Humeral nail system cleared in under 30 days orthopedics. A search of the pubmed 1966october 2014, embase 1980october 2014, and cochrane databases 1966october 2014 was performed for eligible trials. The trapezoidal nail profile provides enhanced rotational stability in the humerus and adds a smaller dimension to the nail profile in the ap. Intramedullary nailing group and stefaan nijs from the upper extremity group discuss the benefits of using the multiloc nail in proximal humeral fracture fixation in high and low energy trauma. Find here online price details of companies selling humerus nail. Proximal humeral fractures are becoming increasingly prevalent with the rapidly expanding population, accounting for 6 % of all fractures in the human body. 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. This metaanalysis compared the clinical outcomes of locking plate with intramedullary nail in the treatment of displaced proximal humeral fractures. Insert the nail until the nail tip protrudes only slightly into the humeral head. T2 proximal humeral nail is intended to provide temporary stabilization of various types of fractures, malunions and nonunions of the humerus. The t2 proximal humeral nail is intended for single use only.
Extended neviaser portal approach to antegrade humeral nailing. Intramedullary splintage, either with a nail or with rush rods, has virtually no place in the treatment of acute humeral fractures. There were 15 patients operated with the nhpt2 nail group a and 14. Retrograde single elastic intramedullary nail in closed simple diaphyseal humeral shaft fractures in children mohamed m h elsayed md1, ahmed f. The titanium flexible humeral nail system technique guide for antegrade or retrograde insertion synthes on.
Bone nail endcap, sterile a small, sterile, rounded plug, cover or threaded screw designed to seal the proximal end of an orthopaedic nail implanted to treat a damaged bone e. The russelltaylor humeral nail smith and nephew, richards was used in all patients. Examples of specific indications according to ao classification include type afractures, dislo. Box 5000, fin90014 university of oulu, finland 2004 oulu, finland abstract although nonoperative treatment is recognized as an effective treatment method for humeral shaft. Not only can the nail or rush rod or kuntscher nail easily lead to damage and stiffness of the shoulder joint because of interference with the rotator cuff, but they also fail to provide sufficient stability. Jul 29, 2015 the best sleeping position for back pain, neck pain, and sciatica tips from a physical therapist duration. The trigen hfn features an oblique locking configuration that allows surgeons to maximize thread purchase by locking into better bone. Entry portal for a straight nail is 5 mm posterior to the. 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 trigen humeral nailing system product offering includes a 16cm proximal straight nail, a 16cm proximal bent nail, and a full line of long. There are some key considerations to this approach.
Results of the t2 humeral nailing system with special. Four proximal locking holes strategically placed to enable locking of separate fragments of the lesser tuberosity, the greater tuberosity and the humeral head. Insafelock humeral nail system group 1, tst, istanbul, turkey and expert humeral nail system group 2, depuy synthes, bettlach, switzerland of the same size 9. Solid humeral nail uhn and proximal humeral nail phn case examples solid humeral nail the solid humeral nail uhn is available in diameters of 6. Although based on the wellknown t2 platform, the t2 proximal humeral nail design incorporates a number of unique features. This allows the insertion of a lateromedial locking bolt into the humeral head distally to the rotator cuff. In an effort to avoid the rotator cuff footprint during humeral nail insertion, knierim et al 14 reported the neviaser portal approach to antegrade humeral nailing in a cadaveric study. Antegrade and retrograde nail insertion are equally popular. Metaanalysis of locking plate versus intramedullary nail. The purpose of this study is to analyze the results of intramedullary fixation of pathological humeral shaft fractures using an unreamed humeral nail uhn.
Stryker has created a next generation locking nail system, bringing together all the capabilities and benefits of separate nailing systems to create a single, integrated surgical resource for fixation of long bone fractures. Surgical technique for the trigen humeral nail system using the trigen sureshot distal targeting system. A second nail driving guide wire of the same length is used to measure the length of the medullary canal figure 7. One implant, two approaches stryker trauma has created a new generation locking nail system, bringing together all the capabilities and. Intramedullary nail for proximal humerus fractures. The trigen humeral intramedullary nail brings the simplified instrumentation of the trigen nail system to the hindfoot.
Techniquenail insertion for pediatric femur opening the femur creating the nail entry point make an incision on the lateral or medial aspect of the distal femur, starting 3 cm above the physis and extending distally for 2. With a fixednail, fractures at the supracondylar area have occurred as result of the eccentric insertion of the nail, the narrow humeral canal and the stiffness of the nail. 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. 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. Proximal humeral nail diaphyseal humeral nail 79 mm 5. Verify the position of the nail with the image intensifier. Results of the t2 humeral nailing system with special focus. Precice unyte humeral nail is an adjustable, stateoftheart device that utilizes a remote control to noninvasively compress and distract the humerus to ensure consolidation of open or closed fractures, nonunions or malunions.
The aequalis humeral nail system is intended to provide temporary stabilization of various types of proximal andor diaphyseal fractures of the humerus. Retrograde single elastic intramedullary nail in closed. The aim of this study is to compare the functional and radiological results of philos plate and nhpt2 nail for the treatment of displaced 2part proximal humeral fractures. Advance the cap until the polyethylene fully engages the threads of the.
Types of fractures include, but not limited to fractures of the humeral shaft, nonunions, malalignments, pathological. Versanail humeral proximal nailing system 4 the humeral proximal nail is designed to treat proximal humeral fractures. It can be used universally for either the left or right humerus. Uniflex humeral nail surgical technique zimmer biomet. Comparative study between locking plates versus proximal. The trigen humeral nail provides new possibilities for the treatment of proximal humeral fractures and humeral shaft fractures. The proximal locking holes in the nail are threaded. The humeral nail of medimetal was developed to treat variously located diaphyseal fractures. The expert humeral nail can be inserted into the humeral shaft in both antegrade and retrograde directions. Versanail humeral universal nailing system nail 10 figure 9 figure 10 image intensification can be used to place a kwire through the humeral head in line with the intramedullary axis of the humerus figure 9. The unyte compression humeral nail is based on the precice intramedullary limb lengthening system. The role of nailing as opposed to plating of humeral fractures is the subject of continuous debate. Unique proximal screw configuration enhances fragment fixation 4.
With a fixed nail, fractures at the supracondylar area have occurred as result of the eccentric insertion of the nail, the narrow humeral canal and the stiffness of the nail. The purpose of this study was to evaluate the outcomes of treating humeral shaft fractures using antegrade locked intramedullary nail, compared to the treatment with traditional more aggressive. Diaphyseal humeral fractures and intramedullary nailing. Get info of suppliers, manufacturers, exporters, traders of humerus nail for buying in india. The agency received the clearance request on january 26, 2018 and notified the company on february 22, 2018. Short 150 mm and long 185320 mm, in 15 mm increments. Types of fractures include, but not limited to fractures of the humeral shaft, nonunions, malalignments, pathological humeral fractures, and impending pathological fractures. Solid humeral nail uhn and proximal humeral nail phn. We searched pubmed, embase, and the cochrane databases for studies comparing locking plate and intramedullary nail treatment of displaced two, three, or fourpart proximal humeral fractures. 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 first is to use the joysticks to extend and adduct the hu. Most proximal humeral fractures can be treated nonoperatively, including a period of immobilization in an arm sling, followed by functional exercises.
Insert polarus cap place the cap assembly onto the 3. Show all bone void fillers external fixation nailing plating screws shoulder. Descriptions of such cases in the current literature are very rare. The t2 proximal humeral nail is intended to be used for various types of proximal andor diaphyseal fractures of the humerus. However, to achieve satisfactory functional outcomes, displaced and. Between 1997 and 2005, 99 acute fractures of the humeral shaft were treated operatively with the unreamed humeral nail uhn, synthes in our level i trauma centre.
With the patient under general anesthesia, a standard longitudinal skin incision. 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. 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. The fda just cleared orthopedic designs north america, inc. Centronail humeral nailing system humeral nailing system one design for left or right humerus proximal bend 15 proximal humeral nail. If xrays show a very narrow intramedullary canal in the distal part of the humerus, retrograde humeral nailing is not possible. The primary tumors included carcinomas of breast 11, kidney 2, multiple myeloma 2, colon 2. Between 1997 and 2005, 99 acute fractures of the humeral shaft were treated operatively with the unreamed humeral nail uhn, synthes in. The presentation pays particular attention to the screwinscrew technique and. The titanium flexible humeral nail system technique guide for antegrade or retrograde insertion. For antegrade nail insertion, the patient is placed in a semisited position on a radiolucent table.
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