The t2 nailing platform is designed to treat a wide range of fractures in the upper and lower extremities. Intramedullary locked nailing is becoming a popular alternative treatment, especially for easier fracture patterns. Inclusion criteria were 1 acute humeral shaft fractures treated with t2proximal humeral nail phn and 2 a minimum followup of one year. 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. From a populationbased implant design, a patented screwtoplate interface, and streamlined instrumentation, our focus was on creating a welldesigned plating system, giving you more time to focus on other things. The stryker t2 proximal humeral nail stryker, kalamazoo, mi, usa, for example, was designed to incorporate a number of features including a small diameter, left and right versions, end caps of different heights, and threaded proximal locking holes with a nylon bushing for improved holding strength. The compliance of the nail construct was adjusted by overdrilling the near cortex reliable fracture union since the surgeon can. Instructions for use are found in the information that accompanied the product packaging. The first is to use the joysticks to extend and adduct the hu. System, stryker trauma has created a new generation humeral implant.
The trigen humeral nail provides new possibilities for the treatment of proximal humeral fractures and humeral shaft fractures. Internal fixation of proximal humerus fractures using the t2. The innovative screwinscrew technology offers customizable stability for the individual patient. Radiolucent targeting arms with easy assembly and friction lock technology. Treatment of proximal humerus fractures with the stryker t2. Trigen humeral nail surgical technique pdf writer telegraph. Download download trigen humeral nail surgical technique pdf writer read online read online trigen humeral nail surgical technique pdf writer official fulltext paper pdf. Type ii annodization allows for enhanced fatigue strength 1. 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. 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. Flexible intramedullary nailing for treatment of proximal humeral and humeral shaft fractures in children. Displaced or unstable fractures require open reduction and internal fixation. System, stryker osteosynthesis has created a humeral implant.
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. Uniflex humeral nail surgical technique zimmer biomet. 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. To complement the t2 nailing system, stryker trauma has created a new generation humeral implant.
Surgical management of proximal humerus fractures remains controversial and there is an increasing interest in intramedullary nailing. Gilbert taglang, multidisciplinary trauma surgeon, consultant designer of strykers. Distal humeral component distal end accepts bearing insert, axle bushing and axle pin and provides an. Internal fixation of proximal humeral fractures with a. Recon nail, the indications have extended from shaft fractures to fractures of the metaphyseal regions. United states court of appeals for the federal circuit. Methods sixtyone consecutive patients with acute unilateral displaced proximal humerus fractures were treated with the t2phn and followed up for a mean of 19 months.
Centronail humeral instruments box, complete 1789911. Fixation is often difficult to satisfactorily achieve around the intramedullary device, whilst minimising soft tissue disruption. Flinkkila, tapio, intramedullary nailing of humeral shaft fractures division of orthopaedic and trauma surgery, department of surgery, university of oulu, p. We describe a technique using the stryker t2 humeral nail which incorporates a compression system allowing closure of the nonunion. Stryker began to sell its accused humeral nail in the united states in early 2004. 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.
Treatment of proximal humerus fractures with the stryker. Titanium nail is hammered down inside humeral shaft and across fracture site. Centronail humeral nailing system humeral nailing system one design for left or right humerus proximal bend 15 proximal humeral nail. Short humeral nails the short humeral nail enables osteosynthesis of armbone head.
Surgical technique this publication is not intended for distribution in the usa. We present a clinical prospective study evaluating this implant for proximal. 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. The technique is easy to perform and has significant ota video library humeral shaft fracture. A study of 61 cases background surgical treatment of displaced proximal humerus fractures remains. Types of fractures include, but not limited to fractures of the humeral shaft, nonunions, malalignments, pathological humeral fractures, and impending pathological fractures. Instruments and implants approved by the ao foundation. T2 proximal humeral nail is intended to provide temporary stabilization of various types of fractures, malunions and nonunions of the humerus. There are some key considerations to this approach. 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. Short and long humeral nail medin proximal humeral nails. May 16, 2010 we describe a technique using the stryker t2 humeral nail which incorporates a compression system allowing closure of the nonunion fracture gap.
Although based on the wellknown t2 platform, the t2 proximal humeral nail design incorporates a number of unique features. Descriptions of such cases in the current literature are very rare. This allows the insertion of a lateromedial locking bolt into the humeral head distally to the rotator cuff. 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. Humeral shaft fractures treated with antegrade intramedullary. To complement the t2 nailing system, stryker osteosynthesis has created a humeral implant. May 05, 2015 repair of traumatic humeral fracture with titanium rod nail and screws. Pdf intramedullary nailing of the proximal humerus.
The humeral nail of medimetal was developed to treat variously located diaphyseal fractures. Insert the nail until the nail tip protrudes only slightly into the humeral head. 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. Although based on the wellknown t2 platform, the t2 proximal humeral nail design incorporates a. There is little guidance on which patients are likely to do well with humeral nailing.
Request pdf treatment of proximal humerus fractures with the stryker t2 proximal humeral nail. Intramedullary fixation of proximal humerus fractures. Problems with halder nail fixation of humeral fractures. The humeral nail system can be used with or without the sureshot distal targeting system. 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. Management of nonunion of humeral fractures with the stryker. 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. Repair of traumatic humeral fracture with titanium rod nail and screws. Therefore we present our study evaluating the stryker t2 proximal humeral nail t2phn. This case demonstrates a softtissue sparing technique of humeral shaft fixation using a humeral intramedullary nail. Short 150 mm and long 185320 mm, in 15 mm increments. Pdf flexible intramedullary nailing for treatment of. Stryker gamma3 and t2 intramedullary nailing gamma 3 2011.
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. Proximal humerus fractures are one of the most common fractures. Expert humeral nail and expert proximal humeral nail. 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. The aim of the study was to stress out the complexity of appropriate operative treatment of humeral shaft fractures using intramedullary fixation, as well as the importance of proper reduction and stable fixation. Verify the position of the nail with the image intensifier. Pdf intramedullary nailing of humeral shaft fractures. All achieved radiological union at an average of 4. Jul 29, 2015 the best sleeping position for back pain, neck pain, and sciatica tips from a physical therapist duration.
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. Our trauma and extremities portfolio offers you marketleading implants for the treatment of long and small bone fractures, as well as extremity joint replacements. One implant, two approaches stryker trauma has created a new generation locking nail system, bringing together all the capabilities and. These courses are to offer training and education on the safe and effective use of aforementioned stryker products. Monoaxial locking plate system for treating proximal humerus 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. Versanail humeral proximal nailing system zimmer biomet. More variants of locking allow good fixation of short fragments and. Box 5000, fin90014 university of oulu, finland 2004 oulu, finland abstract although nonoperative treatment is recognized as an effective treatment method for humeral shaft. Twelve patients underwent compression nailing for established humeral fracture nonunion. Multiloc humeral nails provide a comprehensive system for the treatment of humeral fractures. Solid humeral nail uhn and proximal humeral nail phn. Stryker gamma3 and t2 intramedullary nailing 2011 surgeon course program surgery transmission and cadaver demonstration.
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