Austin fragomen shares an animation depicting the surgical procedure used to correct a shortened and deformed femur using the precice nail retrograde technique. 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 impending pathological fractures. The procedure is performed using a lateral trochanteric entry point to facilitate a simplified procedure, and reduces the danger to blood. In retrograde approach, the expert retrograde antegrade femoral nail is indicated for fractures in the distal femur. This includes transverse, comminuted, spiral, oblique, and. Radial head replacement tejwani repair of a femoral nonunion with plate compression and autogenous iliac graft. In the picture the trigen sureshot method is shown for the tibia. 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. T2 femoral nailing system operative technique patient positioning retrograde nail insertion is performed with the patient supine on a radiolucent table.
This universal retrograde femoral nail is composed. Perez analyzed the biomechanical stability of pediatric femur fractures, as measured by gap closure and nail slippage. Trigen meta nail tibia trigen meta nail femur trigen knee nail retrograde femoral technique 3. The distance from the osteotomy site to the nail insertion site at the knee is then added to render the minimum total nail length. In addition to the t2 femoral nailing system, stryker developed the t2 supracondylar nail scn for the. Pdf factors affecting the results of distal femoral. Distal femur fracture orif with single lateral plate.
To assess the factors that affect the outcome of distal femoral fractures treated by retrograde intramedullary nailing. The setup for trigen sureshot for the femur is similar. Trigen retrograde femoral, supracondytar, and tibial nails submitted by. Four locking holes in distal 32mm with three planes of fixation.
Between november 1999 and june 2006, 30 patients with 31 distal femoral. Femoral shaft fractures proximal or midshaft femoral nonunions and malunions pathologic fractures in osteoporotic bone of the diaphyseal area revision procedures retrograde locking option antegrade locking options the universal femoral nail hole configurations provide a number. Proximal femoral nail antirotation surgical technique depuy synthes 11 2 confirm nail length and diameter instrument 309. Phoenix retrograde femoral nail system featuring corelocktm.
Nail is indicated for fractures of the femur including stable and unstable distal metaphyseal fractures, diaphyseal. Intercondylar fossa greater trochanter piriformis fossa three femoral entry options locking hole options trigen fan femoral antegrade nails trigen tan trochanteric antegrade nails trigen meta nail retrograde femoral. Trigen metanail instrumentation bmt medical devices. Femur lengthening with a retrograde entry precice nail. Compound and simple shaft fractures proximal, metaphyseal, and distal shaft fractures segmental fractures closed supracondylar fractures. With a full range of sizes, the tibial nail is a comprehensive approach to the treatment of tibial fractures.
Trigen im nail system surgical technique knee nail for retrograde femoral mode nota bene. 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. Unreamed intramedullary nailing of femoral fractures in the elderly. Sixteen pairs of embalmed cadaver femurs were obtained to simulate a comminuted supracondylar femur fracture aoota33. Expert retrogradeantegrade femoral nail surgical technique depuy synthes 9 indications for retrograde approach in retrograde approach, the expert retrogradeantegrade femoral nail is indicated for fractures in the distal femur. Ota video library retrograde femoral nailing utilizing. 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. All patients with a femoral shaft fracture admitted at an urban level 1 trauma center from december 1995 to december 1996 were treated with a retrograde femoral intramedullary nail. June 8, 2005 orthopaedic division 1450 brooks road jun 3 0 2005 memphis, tn 38116 contact person. With the trigen sureshot distal targeting system, the leg does not need to be maneuvered for fluoroscopy. Trigen metanail retrograde femoral nail indications. Trigen humeral nail surgical technique pdf writer telegraph. Newer nail designs have allowed the orthopaedic surgeon to use a more implant specific approach to treating these fractures. No statistically significant differences between the nailing and the lcp group were found so far for the parameters time to osseous healing, rate of nonunion and postoperative complications.
Enhanced fixation via threaded screw holes and polyethylene bushings offer better solutions for the fixation of complex fractures. Trigen meta nail retrograde femoral nail indications. Both antegrade femoral nails are designed to accommodate a standard femoral locking mode or the recon locking mode in the same leg. Comparative analysis of the biomechanical behavior of. Retrograde intramedullary nailing for distal femur.
Easier maintenance of length and rotation, esp if skeletal traction is used antegrade con. The trigen meta nail tibial nail is the latest addition to the trigen family of intramedullary nails. The pedinail intramedullary nail is anatomically designed to meet the unique needs of pediatric and adolescent patients, and is available in diameters of 7, 8, 9, and 10mm with lengths ranging from 2038cm. One implant, two approaches stryker has created a next generation locking nail system, bringing together all the capabilities and benefits of separate antegrade and. Trigen retrograde femoral, supracondylar and tibial nails. Outcome of retrograde intramedullary nailing and locking.
A retrograde intramedullary im nail, dynamic condylar screw dcs, and locked condylar plate lcp were tested using 33cm long synthetic femurs. A retrograde intramedullary im nail, dynamic condylar screw dcs, and l. The t2 im nailing platform offers a combination of innovation, simplicity and versatility that is designed to suit your various needs. Prospective comparison of retrograde and antegrade femoral. The retrograde im nails were inserted using the conventional entry point and a nail was deemed compatible if this was possible through the femoral prosthesis.
Comminuted supracondylar fractures with or without intraarticular extension fractures that require opening the knee joint to stabilize the femoral condylar segment. Trigen humeral nail proximal and long trigen hindfoot nail. Nail is indicated for fractures of the femur including stable and unstable distal metaphyseal fractures. Trochanteric antegrade nail and femoral recon antegrade nail are indicated for the following. Femoral shaft fracture retrograde intramedullary nailing. Results of femoral intramedullary nailing in patients who. Retrograde intramedullary nailing of the femur laura s. Retrograde femoral nailing of periprosthetic fractures. In our study of 103 patients with distal femoral fracture, 57 patients were treated with retrograde nail and 46 patients with lcp plate osteosynthesis. This universal retrograde femoral nail is composed of titanium alloy that. The affected lower extremity and hip region are freely draped, and the knee is placed over a sterile bolster. The purpose of this study was to establish if there are biomechanical differences between implants in stiffness of construct, microdisplacement, and fatigue failure in a supracondylar femoral fracture model. 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. For this chapter, retrograde femoral nailing will refer to nails with an intercondylar starting point that extend through.
Indications for use of the retrograde femur nails in the femur including. The compliance of the nail construct was adjusted by overdrilling the near cortex reliable fracture union since the surgeon can. The new locking retrograde femoral nail showed better stiffness and fatigue life than locking plates, and superior fatigue life to nonlocking nails, which may be advantageous in elderly patients. Threaded for enhanced fixation the trigen meta nail retrograde femoral nail is the latest addition to the trigen family of intramedullary nails. Antegrade femoral nailing there were more complications related to the knee after retrogradenailing.
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. Femoral neck fracture cemented bipolar hemiarthroplasty. The technique described herein is made available to the healthcare professional to illustrate the authors suggested treatment for the uncomplicated procedure. 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 impending pathological fractures. This material is intended for the sole use and benefit of the biomet sales force and health care. The zimmer natural nail system is intended for temporary fracture fixation and stabilization of the bone. Between 2008 and 20, 103 patients with distal femoral fracture who had been treated by retrograde intramedullary imil nailing n 57 and lcp plating n 46 were evaluated in this study at. Retrograde femoral nailing has expanded the use of intramedullary nails 1, 2. Antegrade versus retrograde nailing techniques and. Ostrum, md intramedullary nailing is the treatment of choice for fractures of the femoral shaft. In addition to the t2 femoral nailing system, stryker developed the t2 supracondylar nail scn for the treatment of complex distal femoral fractures. Retrograde femoral nailing of periprosthetic fractures around. 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.
Nov 16, 2012 4 retrograde intramedullary nailing is a good surgical option in the management of distal femur fracture with osteoporosis. In the final analysis, the preferred treatment is that which addresses the needs of the patient. To compare the biomechanical stabilities of less invasive stabilization system liss plate and retrograde intramedullary nail imn for the comminuted femoral supracondylar fracture fractures in the elderly. David henley, senior regulatory affairs specialist proprietary name. Retrograde femoral intramedullary nail trauma orthobullets. The trigen knee nail is indicated for shaft fractures between the proximal and distal third of the femur. Trigen intramedullary nailing system trigen sureshot distal targeting system trigen metanail retrograde femoral nail trigen metanail tibial nail trigen metanail nailing in extension instrumentation trigen fan femoral antegrade nails trigen tan trochanteric nails trigen intertan intertrochanteric antegrade nail trigen hindfoot fusion nail trigen humeral nail with. This video demonstrates retrograde nailing of a diaphyseal femoral shaft fracture utilizing minimally invasive techniques. Femoral shaft fracture antegrade intramedullary nailing. Antegrade femur retrograde femur 42 mm 5 mm 14 mm 23 mm 24 mm 50 mm 30 mm telescoping rod also available with a. Lengthening of the femur with a remotecontrolled magnetic. Threaded for enhanced fixation the trigen metanail retrograde femoral nail is the latest addition to the trigen family of intramedullary nails. Complicated multiple trauma injuries, associated pelvic and acetabular fractures, ipsilateral femoral shaft fractures, supracondylar and intercondylar fractures, may be better managed by utilizing retrograde femoral nailing techniques. Phoenix antegrade femoral nail system featuring corelock.
With a full range of sizes, the retrograde femoral nail is a comprehensive approach to the treatment of femoral fractures. Download download trigen humeral nail surgical technique pdf writer read online read online trigen humeral nail surgical technique pdf writer official fulltext paper pdf. Retrograde nailing for supracondylar fracture around total. Comparison of less invasive stabilization system plate and. In retrograde approach, the expert retrogradeantegrade femoral nail is indicated for fractures in the distal femur. To prospectively compare the results, function, and complications of antegrade and retrograde femoral nailing for femoral shaft fractures. Femoral universal femoral universal nailing system options. Patients 151 with a femoral shaft fracture ota 32 treated with intramedullary nailing were studied. Dec 01, 2016 1, 2 the appropriate entry point can make nail insertion easier, affect fracture reduction, and may prevent complications. Phoenix antegrade femoral nail system featuring corelock technology 20 biomet orthopedics form no. In addition to the indications for interlocking intramedullary nails, devices that use a retrograde femoral surgical approach e. Phieffer ronald lakatos definition retrograde femoral nailing can be defined as any femoral nailing technique with a distal entry from the condyles or through an intercondylar, intraarticular starting point.
April12, 2006 orthopaedic division 1450 brooks road memphis, tn 38116 contact person. Knee nail, retrograde and supracondylar nails are indicated for. Russelltaylor deltatibial interlocking nail technique 598 kb recon interlocking. A longer nail can be used, but one must realize that the proximal femoral sagittal bow can be an obstacle. The femoral components of the tkrs were implanted onto left sided femoral sawbones using the manufacturers guides and cutting blocks and positioned appropriately. Trigen knee nail retrograde femoral technique cambridge. The t2 femoral nailing system offers a universal left and right nail in addition to an antegrade or retrograde approach that may reduce inventory. Femoral universal femoral universal nailing system. The patent pending 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. The first report of a supracondylar femoral fracture with an ipsilateral total knee replacement tkr was by hirsh et al. Trigen intramedullary nailing system trigen sureshot distal targeting system trigen meta nail retrograde femoral nail trigen meta nail tibial nail trigen meta nail nailing in extension instrumentation trigen fan femoral antegrade nails trigen tan trochanteric nails trigen intertan intertrochanteric antegrade nail trigen hindfoot fusion nail trigen humeral nail with sureshot. Intertrochanteric fracture orif with cephalomedullary nail. Retrograde intramedullary nailing for distal femur fracture. In the case of retrograde nailing, chen employed both mechanical testing and fe analysis to compare the stiffness variations among different intramedullary nail constructs used in the treatment of distal femoral fractures.
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