Designed in line with the latest advancement in the medical sector, these nails assist in the fixation of tibial shaft. The fda just cleared orthopedic designs north america, inc. After verifying that the screws have been removed,slip the forked end of the. Instruments and implants approved by the ao foundation. The system includes a 15cm short nail or proximal nail which offers. If xrays show a very narrow intramedullary canal in the distal part of the humerus, retrograde humeral nailing is not possible. Proximal humeral fractures and intramedullary nailing. The first is to use the joysticks to extend and adduct the hu. Features and benefits proximal locking locking screws. The centronail titanium humeral nailing system orthofix.
Uniflex humeral nail surgical technique the uniflex humeral nail system was developed in conjunction with ralph b. Failure to do so could result in breaking the screws,rod,or removal tool. 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. Proximal humerus fractures orif or im nail which is better. Get info of suppliers, manufacturers, exporters, traders of humerus nail for buying in india. During the 2011 meet the experts session, paulo barbosa from the 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. Intramedullary locked nailing is becoming a popular alternative treatment, especially for easier fracture patterns. Do not operate the trigen sureshot targeter within 200mm of an installed pacemaker. Versanail humeral proximal nailing system zimmer biomet. Internal fixation of fractures of the proximal humerus with the multiloc nail. T2 proximal humeral nail the t2 proximal humeral nail is intended to be used for various types of proximal andor diaphyseal fractures of the humerus.
Advance that nail which will most effectively pull the proximal fragment into alignment. Tullio russo, roberto varsalona, evaluation and improvement of the efficiency of the seidel humeral nail by numericalexperimental analysis of the boneimplant contact, medical engineering. Oconnor, phd investigation performed at the fondren orthopedic group, texas orthopedic hospital, houston, texas exchange nailing is most appropriate for a nonunion without substantial bone loss. Centronail humeral nailing system humeral nailing system one design for left or right humerus proximal bend 15 proximal humeral nail. For fractures of the proximal humerus with diaphyseal extension and combined fractures of the proximal humerus and the humeral diaphysis, the three lateral screws greater. 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. There are some key considerations to this approach. Fixation is often difficult to satisfactorily achieve around the intramedullary device, whilst minimising soft tissue disruption. The t2 proximal humeral nail is intended to be used for various types of proximal andor diaphyseal fractures of the humerus. 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. Retrograde single elastic intramedullary nail in closed. Humeral nail system cleared in under 30 days orthopedics.
Trigen humeral nail features include trapezoidal nail profile, four multiplanar proximal screws and multiple lengths bent and straight. Intramedullary fixation of proximal humerus fractures. 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. Internal fixation of fractures of the proximal humerus. Centronail humeral instruments box, complete 1789911. One implant, two approaches stryker trauma has created a new generation locking nail system, bringing together all the capabilities and. Trigen humeral intramedullary nail bmt medical devices. Hessmann mh1, nijs s, mittlmeier t, kloub m, segers mj, winkelbach v, blauth m.
Types of fractures include, but not limited to fractures of the humeral shaft, nonunions, malalignments, pathological humeral fractures, and impending pathological fractures. Ipsilateral combined lesions of the proximal humerus and the humeral diaphysis use a long nail. Modern proximal humeral nail designs and techniques assist the surgeon in adhering to. One implant, two approaches stryker trauma has created a new generation locking nail system, bringing. Based on data from previous studies on bone distribution in the humeral head, we hypothesized, that higher densities might exist in the bone stock surrounding straight nails in comparison to their angulated counterparts. The trigen humeral nail provides new possibilities for the treatment of proximal humeral fractures and humeral shaft fractures. Short 150 mm and long 185320 mm, in 15 mm increments. Intramedullary nail for proximal humerus fractures. The humeral nail system can be used with or without the sureshot distal targeting system. Uniflex humeral nail surgical technique zimmer biomet. T2 proximal humeral nailing system contributing surgeons. A new proximal humeral nail with multiple screw placement. Small diameter intramedullary implant that requires only a 10mm.
Cannulated humeral nails humeral nails manufacturer india. Manca, md short proximal humeral nail long proximal humeral nail removal of the handle and closure diaphyseal humeral nail. 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. Internal fixation of fractures of the proximal humerus with.
Based on data from previous studies on bone distribution in the humeral head, we hypothesized, that higher densities might exist in the bone stock surrounding straight nails in. Versanail humeral proximal nailing system 3 intramedullary fixation of humeral proximal fractures the versanail humeral proximal 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. Straight proximal humeral nails are surrounded by more. Newton humeral nail system advanced orthopaedic solutions.
The aos newton humeral nail system consists of both short and long intramedullary nails. Comparative study between locking plates versus proximal. Flinkkila, tapio, intramedullary nailing of humeral shaft fractures division of orthopaedic and trauma surgery, department of surgery, university of oulu, p. A cadaveric study of its anatomical relationships article pdf available in european journal of anatomy 163. 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. Between may 2005 and june 2006, we operated 29 2part humeral fractures. The initial treatment consisted of immobilization in a sling followed by physical therapy in 11 patients, closed reduction and percutaneous pinning in 1, and internal fixation with an interlocking intramedullary nail with the polarus humeral nail system acumed, hillsboro, or in 1. 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 t2 humeral nail offers multiple locking modes static, controlled dynamic and compression locking options to allow for ease of use and versatility in care. Displaced and unstable two to fourpart fractures of the proximal humerus. Restoration of a stable boneimplant construct that enables early functional aftertreatment. 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. 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. Intramedullary nail for treating proximal humerus fractures.
Although based on the wellknown t2 platform, the t2 proximal humeral nail design incorporates a number of unique features. These flexible humeral nails are made from premium quality stainless steel. Inserted in a reduced diameter and expanded within the medullary canal. The use of intramedullary nails for the management of humeral shaft fractures has been controversial. This brochure is presented to demonstrate the surgical technique. Newton humeral nail system surgical technique download pdf. 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.
The humeral universal nail system from the versanail platform offers options to treat a range of humeral fractures using either the antegrade or retro. T2 proximal humeral nail is intended to provide temporary stabilization of various types of fractures, malunions and nonunions of the humerus. This device shows promise for applications involving the reconstruction of the humeral shaft and head with minimal soft tissue stripping and for providing a locked, fixedangle construct for. Box 5000, fin90014 university of oulu, finland 2004 oulu, finland abstract although nonoperative treatment is recognized as an effective treatment method for humeral shaft. According to the fda filings, the talon distalfix humeral nail system is indicated to aid in. Our objective was to investigate the clinical and radiographic results of the internal fixation using polarus humeral nails for fractures of the proximal humerus. There were 19 males and 4 females, 15 with right arm fractures and 8 with left arm fractures. 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 trigen humeral intramedullary nail brings the simplified instrumentation of the trigen nail system to the hindfoot. Proximal humerus fractures are one of the most common fractures. The t2 proximal humeral nail is intended for single use only. Fourteen consecutive patients with pain and functional impairment due to proximal humeral nonunion were treated operatively by use of an interlocking intramedullary nail with the straight nail system between 1996 and 2003. The nails are inserted using an opened or closed technique and can be static, dynamic and compression locked.
Indications most fractures of the humerus will heal in a satisfactory fashion without operation. Expert humeral nail and expert proximal humeral nail. Richard gellman, md ota panp course 20 up to 5% of all fractures, most often elderly from glf physiologic status of patient bone quality, medical comorbidities associated injuries vascular, neuro, or polytrauma. Types of fractures include, but not limited to fractures of the humeral shaft, nonunions, malalignments, pathological. Examples of specific indications according to ao classification include type afractures, dislo. 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. Fractures of the proximal humerus extending in the humeral diaphysis use a long nail. The goal of this study was to evaluate fracture healing and alignment as well as functional outcome and complication risks after internal fixation with the intramedullary proximal humeral nail phn. Cannulated humeral nails humeral nails manufacturer. Descriptions of such cases in the current literature are very rare.
The selection of the implant was not randomized, but it was surgeon choice. Displaced or unstable fractures require open reduction and internal fixation. In the management of proximal humeral fractures intramedullary implants with bent and straight shape of the proximal part of nail are available. Proximal humerus fractures orthopaedic trauma association. Find here online price details of companies selling humerus nail. Trigen humeral nailing includes a 16cm proximal straight nail, a 16cm proximal bent nail, and a full line of long bent nails 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. Jun 30, 2009 the goal of this study was to evaluate fracture healing and alignment as well as functional outcome and complication risks after internal fixation with the intramedullary proximal humeral nail phn. An expandable self locking nailing system no distal screws required. There were 15 patients operated with the nhpt2 nail group a and 14.
Cortical screw locks nail to humeral shaft preventing. However, the uniflex humeral nail system has been designed to treat certain difficult humeral fractures in. The agency received the clearance request on january 26, 2018 and notified the company on february 22, 2018. 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. Pdf intramedullary nailing of the proximal humerus. The trigen hfn features an oblique locking configuration that allows surgeons to maximize thread purchase by locking into better bone. After the exclusion of 1 patient who had a brachial plexus palsy at the time of the accident, patients were followed up retrospectively. Jul 10, 20 these flexible humeral nails are made from premium quality stainless steel. 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. Internal fixation of proximal humeral fractures with a. 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. Trigen humeral nailing includes a 16cm proximal straight nail, a 16cm proximal bent nail, and a full line of long bent nails. Conforms to shape of humeral head and prevents the ventrocranial nail protrusion. The mean age was 10 years old at the time of surgery, with a range from 7 to 12 years.
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