T2 8mm nails require the use of 4mm fully threaded locking screws distally and 5mm proximally. T2 ar humeral nails require all 4mm locking screws. The titanium tibial nail system the royal childrens. Drill 2 overlapping, but not intersecting, 2mm holes in the anterior cortex of the tibia.
Unusual complication following intramedullary nailing of. The phoenix tibial nail system is composed of titanium alloy and features corelock technology that offers a preassembled, embedded locking mechanism for locking all proximal oblique screws, which can also be used to internally mechanically compress up. Ensure that the kneejoint of the injured leg can be. A comparative study evaluating plate and nail fixation by egol et al. Kuntscher first reported use of the vshaped nail in 1940 and proposed the nail would act as an internal splint that created an elastic union with the inner medullary cavity. Distal locking of tibial nails article pdf available in clinical orthopaedics and related research 4661. Wchcoated fixation kwires designed for secure fixation in tibial plateau to prevent anteriorization and back out of sleeves during reaming. T2 pocket reference yker nailing cards university of iceland.
T2 tibia spi offers two size options of drill sleeve available to accommodate nail diameters 8mm. Class 2 device recall stryker t2 femoral nail system. The t2 tibial nailing system is intended to provide temporary stabilization of various types of fractures, malunion and nonunion of the tibia. T2 arthrodesis femur tibia recon greater trochanter nails. This leads to increased surgical time and increased radiation exposure to the patient and surgical personnel. Besides the t2 femoral nail with a 3m radius of curvature, stryker offers also a 1. Intramedullary nailing of the tibia may be utilized in cases of tibial fracture or. Remove the awl and insert the tibial reamer sleeve 174230. There remains a compelling biological rationale for both reamed and unreamed intramedullary nailing for the treatment of tibial shaft fractures.
The t2 tibial nailing system represents strykers latest and most comprehensive development of the original intramedullary principles presented by prof. Carbofix tibia nails are cannulated for insertion over a proprietary. Tibial nail data indicates that the tibia is the most commonly fractured long bone in the body. Complications associated with the metanail tibial nail. Stryker trauma, 18221034s, stryker t2 titanium tibial nail. Intramedullary nailing of the tibia orange county surgeons. T2 8mm nails require the use of 4mm fully threaded locking screws. T2 nails may all require additional reaming for the proximal driving section beyond 1 to 1. Randomized trial of reamed and unreamed intramedullary.
As with all diameters of t2 tibial nails, the proximal screws are 5mm. The nail cap is made of composite material and is radiolucent. With a full range of sizes, the tibial nail is a comprehensive approach to the treatment of tibial fractures. Attach the anterior drop 71654501 to the drill guide and verify targeting accuracy by inserting a gold 9.
If the reamer is not advancing, remove it and clear away the bone debris. Ap f and lateral g views of medullary reamers over the guide pin. Keep the affected leg straightly with 1020 in adduction and condylar joint at the neutral location. Mar 01, 2010 tibial nail with locking screws in place, making the entry portal ce. For the cannulated ctn, place the nail over the guide rod and into the tibial opening with the insertion handle oriented anteriorly. Holding screw tibia femur pf may also be used in conjunction with the t2 alpha femur antegrade. Use of intramedullary nail in distal metaphyseal fractures of. Being a quality centric organization, we present a quality range of upper bend tibial nail to our esteemed clients.
Keep the first drillbit in the hole as you drill the second hole. The history of intramedullary nailing presentation grafix, inc. Tibia targon tx the new targon tx aims to advance intramedullary nailing into the very proximal and distal regions of the tibia while substantially improving fixation stability. Expert tibial nail surgical technique depuy synthes 5 indications the expert tibial nail is indicated for fractures in the tibial shaft as well as for metaphyseal and certain intraarticular fractures of the tibial head and the pilon tibiale. We report a case of inadvertent penetration of the tibiotalar joint by the smooth guide wire caused by incarceration of a fracture fragment between the nail and. Elastic nail insertion sleeves designed to serve as working channel to protect joint space.
Intramedullary osteosynthesis of tibia provides stable fixation of tibial shaft fractures. Stryker trauma, 18221s, stryker t2 titanium tibial. Twentynine patients were included from our hospital. One implant, two approaches stryker trauma has created a new generation locking nail system, bringing together all the capabilities and benefits of separate antegrade.
The 8mm t2 tibial nail can only be locked distally with 4mm fully threaded screws. Intramedullary nailing is a standard form of treatment for diaphyseal tibial fractures. From lowenergy contact in sports to auto and factory accidents, its a fracture touching every demographic. In addition to the t2 femoral nailing system, stryker developed the t2 supracondylar nail scn for the treatment of complex distal femoral fractures.
Stryker trauma, 18221034s, stryker t2 titanium tibial. Factors influencing interlocking screw failure in unreamed. Sirus intramedullary tibia nail system surgical technique. Dec 01, 2008 we compared reamed and unreamed intramedullary nailing with regard to the rates of reoperations and complications in patients with tibial shaft fractures. Currently, tibial shaft fractures not amenable to nonoperative treatment are treated most commonly with statically locked intramedullary nailing 2, 3. Radiolucent targeting arms with easy assembly and friction lock technology. In our study, we first fixed the fibula and then the tibial fracture, which facilitated alignment of the tibial fracture and nail insertion.
Intramedullary nailing of the tibia may be utilized in cases of tibial fracture or tibial fracture malunion or nonunion. Enhanced fixation via threaded screw holes and polyethylene bushings offer excellent solutions for the fixation of complex fractures. Phoenix tibial nail system featuring corelocktm technology. Expert nailing system titanium cannulated tibial nail. May 15, 2017 the t2 tibial nailing system is intended to provide temporary stabilization of various types of fractures, malunion and nonunion of the tibia. Universal tibial nail ii, cannulated product description. We compared reamed and unreamed intramedullary nailing with regard to the rates of reoperations and complications in patients with tibial shaft fractures. The titanium tibial nail system royal childrens hospital. Universal tibial nail ii universal tibial nail ii position the patient supine on the radiolucent table. The titanium tibial nail system surgical technique 16 inserting the nail for the solid utn, place the nail into the tibial opening with the insertion handle oriented anteriorly. Despite the fact that nail design has improved, the most demanding part of their implementation remains distal locking. The tibial nailex is intended to stabilize fractures of the proximal and distal tibia and the tibial shaft, open and closed tibial shaft fractures, certain pre and postisthmic fractures, and tibial malunions and nonunions.
Semiextended intramedullary nailing of the tibia using. Ream to a width 12 mm greater than the proposed nail. To meet the specific requirements of our clients, we offer customized solutions. To complement the t2 nailing system, stryker trauma has created a new generation humeral implant. Furthermore, the development of the t2 femoral nailing system offers the competitive advantages of. Insertion of the nail requires threading of the nail over a smooth guidewire. T2 tibial nailing system operative technique stryker yumpu. 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. Because this is a transport over an intramedullary nail, the cable must remain intracortical that is, outside the path of the nail. Surgical procedures of intramedullary nailing of the tibia on intramedullary nailing of the tibia involves the insertion of a nail into the tibia in order to prevent or correct a fracture. 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. Extending the indications of intramedullary nailing with.
It is composed of a titanium alloy and is available in 4 diameters 8. Plain radiograph follow up after the insertion of a tibial nail. We conducted a multicenter, blinded randomized trial of 19 adults in whom a tibial shaft fracture was treated with either reamed or unreamed intramedullary nailing. The t2 alpha tibia nailing system will be used with the locking screws cleared in k003018 titan tibial nail and k172774 imn screws system. Nails sign in to add this product to your favorites. There is callus formation at the site of the midtibial fracture. Used with the t2 tibial nailing system, the spi instruments offer an alternate method for the insertion of tibial nails in a suprapatellar approach. Ensure that the kneejoint of the injured leg can be flexed at least 90and the hip joint can be flexed 7090. Previous small trials have left the evidence for either approach inconclusive.
Besides the t2 femoral nail with a 3m radius of curvature. Extending the indications of intramedullary nailing with the. The t2 nailing platform is designed to treat a wide range of fractures in the upper and lower extremities. One common compression screw to close the fracture site, and end caps in eight sizes are available to provide a best fit for every indication. The use of a cannulated expert tibial nail with a large diameter offering more stability associated with.
The t2 tibial nailing system represents stryker s latest and most comprehensive development of the original intramedullary principles presented by prof. Stryker has created a next generation locking nail system, bringing together all the capabilities and benefits of separate antegrade and retrograde nailing systems to create a single, integrated surgical resource for fixation of longbone fractures. Special order 8mm t2 femoral nails can only be locked with 4mm. Type ii annodization allows for enhanced fatigue strength 1. We created a distal tibia fracture model aoota 43 a3 using 16 sawbones. Tibial plateau fracture fixation, proximal tibia everything you need to know dr. As with all diameters of t2 tibial nails, the proximal screws are. Inadvertent complications during this stage have been reported. We are a liquidator of sutures and other surgical items from ethicon, covidien autosuture, synthes, stryker, arthrex and are able to pass our savings on to you. After fracture stabilization with one of four different nail types expert tibial nail, versanail, t2 tibial nailing system, connex, mechanical testing was performed in three loading series 40,000 cycles each with incremental loads.
Tibial nail with locking screws in place, making the entry portal ce. Intramedullary nailing system has become increasingly popular as a treatment option for long bone fractures, it is suitable for all fractures extending from 78 cm distal to the tibial plateau, to within 5. Although based on the wellknown t2 platform, the t2 proximal humeral nail design incorporates a. T2 proximal humeral nail, t2 supracondylar nail, t2 recon nail, the indications have extended from shaft fractures to fractures of the metaphyseal regions. The 8mm t2 tibial nail can only be locked distally with 4mm fully. The t2tm tibia nail a prospective multicenter clinical study. The t2 alpha tibia nailing system offers a combination of innovation, simplicity, and efficiency that is designed to suit your various needs. One common compression screw to close the fracture site, and end caps in eight sizes are available to provide an improved fit for every indication. Stryker trauma gmbh heike gustke staff regulatory affairs. The t2 im nailing platform offers a combination of innovation, simplicity and versatility that is designed to suit your various needs. This neutralizes the deforming forces on proximal fragments caused by the quadriceps mechanism and relieves the pressure on soft tissue usually. 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. Intramedullary nail for treating proximal, distal, as well as midshaft tibial fractures.
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