Removal of a broken trigen intertan intertrochanteric. The trigen tan and fan intramedullary nails are indicated for fractures of the femur, including intertrochanteric, basitranscervical femoral neck fractures and subtrochanteric fractures, ipsilateral femoral neckshaft fractures, stable and unstable shaft fractures, segmental fractures, nonunions and malunions. Knee arthrodesis has been performed for more than 100 years and is currently a treatment option for limb salvage in a failed total knee arthroplasty, unilateral posttraumatic osteoarthritis in a young patient, reconstruction after tumor resection, and knee joints that are unable to be reconstructed after severe trauma. Learning curve and clinical outcomes of performing surgery. Trigen intertan solution lowers risk of lag screw cutout 3. Trigen intertan while both the trigen intertan and sliding hip screw are marketed and demonstrated to be suitable for treatment of the study indication, the randomisation is considered an intervention as it may be contrary to the treatment chosen by the. The trigen metanail tibial nail is indicated for fractures of the proximal and distal third of the tibia, including the shaft, stable and unstable fractures, non. This surgical technique offers guidance but, as with any such technique guides each surgeon must consider the particular needs of each patient and make appropriate clinical decisions as required. The strict use of bone pairings eliminated the possibility that differences in bone quality would emerge between the two groups table 1 27. An orthopedic implant is a medical device manufactured to replace a missing joint or bone or to support a damaged bone. Trigen intertan intertrochanteric antegrade nail, or. The proximal section of the implant is mm and is angled at 5 to accommodate the more lateral entry site. The mosaicplasty instruments permit the flexibility of an arthroscopic or open technique in the knee and ankle.
Matre, k, vinje, t, havelin, li trigen intertan intramedullary nail versus sliding hip screw a prospective, randomized multicenter study on pain, function, and complications in 684 patients with an intertrochanteric or subtrochanteric fracture and one year of followup. This surgical technique is written from the trochanteric antegrade nail tan perspective. Osteochondral grafting aocg is the result of more than a decade of animal and clinical experience, and refinements in surgical technique and instrumentation. Position the carm for an ap view of the proximal femur. Surgical technique implant selection the trigen intertan nail preoperative template set 71674200 may be used to assist with preoperative implant selection. The trigen intertan nail features an innovative twoscrew configuration that secures the nail in place after surgery, acting together to provide greater stability for the bone and reduced healing time. The lens 4k surgical imaging system is a surgical video platform with the latest 4k technology designed for sports medicine and multispecialty centers for use in arthroscopic and endoscopic procedures to maximize your overall investment. Complication risk after treatment of intertrochanteric hip. Professor of orthopaedic surgery brown university, providence, ri usa robert probe, m. The cutting guide, which can be used for both extramedullary and intramedullary techniques, allows the depth of cut to be adjusted after the guide has been positioned. Trigen intertan intramedullary nail versus sliding hip screw a prospective, randomized multicenter study on pain, function, and complications in 684 patients with an intertrochanteric or subtrochanteric fracture and one year of followup. It is a computerassisted orthopaedic surgery tool to aid the surgeon with drill positioning for screws during intramedullary nail implantation. Proximal femoral nail antirotation surgical technique depuy synthes 11 2 confirm nail length and diameter instrument 309.
Besides the t2 femoral nail with a 3m radius of curvature, stryker offers. Vicedirector, chief surgeon tohoku university graduate school of medicine tohoku rosai hospital, sendai japan christopher t. This approach allows a surgeon to repair through the mini sinus. Nails with a proximal bend are best suited for simple twopart fractures of the proximal humerus involving the surgical neck of the humerus and proximal third humeral fractures without comminution. Trigen intertan technique utilizing the gold instrument set 6 surgical technique implant selection the trigen. Expert retrogradeantegrade femoral nail surgical technique depuy synthes 11 place the radiographic ruler for nail diameters over the femur so that the measuring edge is located over the. Surgical technique femur interlocking nail matrix meditec duration. Do pfna devices and intertan nails both have the same effects in the treatment of trochanteric fractures. A prospective, randomized multicenter study on pain, function, and complications in 684 patients with an intertrochanteric or subtrochanteric fracture and one year of followup. The trigen tan and fan intramedullary nails are indicated for fractures of the femur, including. Multicomponent instrument assemblies must be disassembled prior to cleaning. Trigen intertan nail periloc pfp proximal femoral plate trigen fan. 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.
Both antegrade femoral nails are designed to accommodate a standard femoral locking mode or the recon locking mode in the same leg. Previous generations of intramedullary nails for femoral fractures used a single screw that sometimes contributed to a loosening of the device. Advanced concepts in knee arthrodesis pubmed central pmc. Internal fixation is an operation in orthopedics that involves the surgical implementation of. Comparison of a twin interlocking derotation and compression. Trigen fan femoral antegrade nail and tan indications. Trigen intertan hip fracture intramedullary nail bmt. Nail or plate fixation for a3 trochanteric hip fractures. Vlp foot percutaneous calcaneus plating system allows for a miniincision approach to treat calcaneus fractures that helps to reduce the incidence of soft tissue complication. The trigen tan and fan intramedullary nails are indicated for fractures of the femur, including intertrochanteric, basitranscervical femoral neck fractures and subtrochanteric fractures, ipsilateral femoral neckshaft fractures, stable and unstable shaft fractures, segmental fractures, nonunions and malunions, polytrauma. Surgical technique for trigeminal microvascular decompression. A medial parapatellar arthrotomy is typically performed, and the total knee arthroplasty components are accessed and removed.
For the three studies of static implants involving 105 participants, 4 of the 53 nail fixation patients had fracture healing complications 7. A femoral fracture is typically caused by direct trauma to the bone and requires an average of six to eight weeks to heal. Trigen laboratory 811004930 mckesson medicalsurgical. A prospective clinical study article pdf available in. Trigen intertan solution fracture compression youtube. Cruciate retaining cr and revision instrumentation. Request pdf removal of a broken trigen intertan intertrochanteric antegrade nail implant breakage is a serious complication after cephalomedullary nailing. Nail size, screw length and femoral neck angle may be determined. Jul 12, 2006 the trigen intertan nail is indicated for the treatment of femoral fractures, or a break in the thigh bone, which runs from the hip to the knee and is the longest and strongest bone in the body. 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.
Trigen intertan solution the impact of femoral shortening 4. Most components are reusable or multipleuse, and the procedure can be performed in a single operation. Comparison of a twin interlocking derotation and compression screw cephalomedullary nail intertan with a single screw derotation cephalomedullary nail proximal femoral nail antirotation. Regranex gel is the first and only fdaapproved recombinant plateletderived growth factor pdgf therapy indicated for use as an adjunct to good ulcer care in the treatment of lower extremity diabetic neuropathic ulcers1. All nonsterile devices must be cleaned and sterilized before use. Use of the distractor the application of the distractor can be helpful in many types of fractures, for old injuries, or when the assistants are inexperienced. Stimulates fibroblast proliferation to increase granulation tissue2. How is the trigen intertan intertrochanteric antegrade nail different. Vlp foot percutaneous calcaneus plating system smith. 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. Utilizing the same trigen instruments, the tan was developed to simplify the surgical approach by allowing placement of the nail through the greater trochanter. Posterior fixation for the thoracolumbar spine is a procedure intended to provide realignment, immobilization, and stabilization of spinal. Specimens were randomly assigned to receive either percutaneous compression plating pccp.
The medical implant is mainly fabricated using stainless steel and titanium alloys for strength and the plastic coating that is done on it acts as an artificial cartilage. Trigen intertan vs sliding hip screw rct full text view. Trigen instrument and implant catalogue cambridge orthopaedics. Note as template magnification levels are set at 117%, all measurements are estimates of true size. Pdf do pfna devices and intertan nails both have the same. The appropriate diameter implant will provide translational fill within the isthmus of the intramedullary canal. Impressive 4k uhd image quality and network connectivity in a 3in1 console for multispecialty environments.
Patientspecific report can include hospital logo, notes. System console features a 30,000 hour led light source, hd camera control unit with builtin wifi, and a fullyfunctional media management system. Trigen tan and fan trochanteric and femoral antegrade intramedullary nails surgical technique nota bene the technique description herein is made available to the healthcare professional to illustrate the authors suggested treatment for the uncomplicated procedure. Mar 18, 2015 the surgical technologist passes clean instruments kept on the back table to the surgical team but avoids physical contact with the surgical team and surgical field, including the mayo stand. Cruciate retaining cr and revision instrumentation surgical. Interbody fusion is a surgical technique that attempts to eliminate instability in the back. Chief of surgical services medical director of murnau trauma center, murnau germany katsumi sato m. Refer to the trigen intertan intertrochanteric antegrade nail system surgical technique brochure and the important medical. Surgical technique continued unreamed technique radiographic templating is used to determine nail size. The trigen intertan intertrochanteric antegrade nail.
Trigen metanail retrograde femoral nail is indicated for fractures of the femur including stable and unstable distal metaphyseal fractures 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. Intertan nail versus proximal femoral nail antirotationasia. Trigen laboratory 811006610 mckesson medicalsurgical. A prospective clinical study article pdf available in journal of orthopaedic science 20. Randomisation to either trigen intertan or sliding hip screw, postsurgery follow up device. Request pdf removal of a broken trigen intertan intertrochanteric antegrade nail implant breakage is a serious complication after cephalomedullary nailing for unstable intertrochanteric fracture. The purpose of this study is to evaluate the learning curve of performing surgery with the intertan intramedullary nail in treating femoral intertrochanteric fractures, to provide valuable information and experience for surgeons who decide to learn a new procedure. The trigen tan is used for the same indications as the standard trigen fan. We retrospectively analyzed data from 53 patients who underwent surgery using an intertan. 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 sureshot. The large window draws in large volume of tissue and facilitates end and sidecutting, while the toothed inner blade helps to grab frayed tissue. The dyonics platinum fr blade combines a wide cutting window with a tooth inner blade, and a smooth outer blade. Intertan nail versus proximal femoral nail antirotation. Template set 71674200 may be used to assist with preoperative.
1151 1347 1361 46 80 790 452 1194 702 1330 136 60 318 1497 1039 1081 306 996 654 297 205 387 1265 136 814 18 1260 217 1164 305 1320 625 532 1246 258 583 1009 1176 321 838 438 6 1321 45 333