Pdf in the treatment of humeral fractures, reamed nailing and compression have been reported to give higher stability. Liu 322 the standard approaches for antegrade nailing are the lateral and anterior lateral acromion approach 5. T2 proximal humeral nail is intended to provide temporary stabilization of various types of fractures, malunions and nonunions of the humerus. This brochure is presented to demonstrate the surgical technique. Proximal straight humeral nail offers an alternate choice in treating different fracture patterns. The t2 humeral nail offers multiple locking modes static, controlled dynamic and.
In addition to the t2 femoral, tibial, and humeral nailing systems, stryker developed the t2 arthrodesis nail to provide treatment of knee arthrodesis. 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. This humeral nail is designed to aid in alignment and stabilization of. Demonstration of performing proximal humeral fracture fixation with nailing using multi directional locking proximal humerus nail. Spanning over 75 years, stryker s rich history of intramedullary nailing has enabled us to become the market leader in long bone nailing. Short humeral nails the short humeral nail enables osteosynthesis of armbone head. Technique guide this publication is not intended for distribution in the usa. Expert humeral nailing system surgical technique depuy synthes 1 table of contents introduction. Compressionlocked nailing of the humerus a mechanical analysis. We continue to build upon our legacy of continuous design enhancements to ensure that our trusted portfolio meets your needs today and in the future. T2 humeral nailing system operative technique stryker yumpu. Pdf intramedullary nailing of the humerus is controversial.
This is achieved with either the free hand technique, which in the humerus may be. With categoryleading technology, intuitive instrumentation and marketleading support, we bring you the complete nailing portfolio you can trust. Intramedullary lengthening, in cases of extensive humeral shortening, offers the advantages of preventing externalfixatorassociated problems. Humerus lengthening with the precice internal lengthening.
The proximal locking holes are threaded and have nylon bushings to. A varus proximal humeral deformity and lateral starting point allowed for avoidance of the rotator cu. The surgical incision was performed from the outer side of the acromion, along the lateral aspect of the arm, passing through the deltoid muscle and rotator cuff. Humeral nailing system stryker pdf catalogs technical. Measure the length of the unfractured humerus from its head to the olecranon fossa and deduct 56 cm from the measured distance. Show all bone void fillers external fixation nailing plating screws shoulder. Our trauma and extremities portfolio offers you marketleading implants for the treatment of long and small bone fractures, as well as extremity joint replacements. Instruments and implants approved by the ao foundation. A retrospective cohort of 48 patients treated for humeral diaphyseal fractures at the university hospital of parma between 2007 and 2011 was analysed. Intramedullary nailing of humeral head and humeral shaft. 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.
Intramedullary nailing for displaced proximal humeral. Expert humeral nail and expert proximal humeral nail. A new rotator interval approach for antegrade humeral. Distalfix humeral nail is in line with the medullary canal in the lateral view. T2 humeral nailing system contributing surgeons rupert beickert, m. The nail was secured with two proximal locking screws and a distal screw. The goal of antegrade humeral nailing of proximal humerus fractures is to. Nail, t2 supracondylar nail, t2 recon nail, the indications have extended from shaft fractures to fractures of the metaphyseal regions. Stryker continues to build on its history of innovation with the introduction of the t2 tibia suprapatellar instrument spi system. T2 nails may all require additional reaming for the proximal. Stryker osteosynthesis bone screws are not approved or intended for screw attachment or fixation to the posterior elements pedicles of the cervical, thoracic or lumbar spine. Program stryker gamma3 and t2 locking nailing courses for. Short and long humeral nail medin proximal humeral nails. 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.
Although based on the wellknown t2 platform, the t2 proximal humeral nail design incorporates a number of unique features. Comparison of plate, nail and external fixation in the. Intramedullary nail for treating humeral shaft fractures. Although based on the wellknown t2 platform, the t2 proximal humeral nail design incorporates a. Some of the leading companies in the global intramedullary nails market are. Inclusion criteria were 1 acute humeral shaft fractures treated with t2proximal humeral nail phn and 2 a minimum followup of one year. Flexible intramedullary nailing for treatment of proximal humeral and humeral shaft fractures in children. More variants of locking allow good fixation of short fragments and optimal reposition of the fractures. The humeral nail system can be used with or without the sureshot distal targeting system. Humeral nail designs have undergone significant innovation during the past 40 years and now can provide stable fixation in the humeral shaft distally as well as improved stability in the head and tuberosity fragments, which were the common site of. Hydroset injectable ha bone substitute inion otps biodegradable plates, screws and pins.
Types of fractures include, but not limited to fractures of the humeral shaft, nonunions, malalignments, pathological humeral fractures, and impending pathological fractures. To complement the t2 nailing system, stryker trauma has created a new generation humeral implant. The t2 proximal humeral nail stryker is made of titanium alloy and has a maximum diameter of 10 mm. To complement the t2 nailing system, stryker osteosynthesis has created a humeral implant. Whats driving the intramedullary nails market growth.
It was hypothesized that available implants might be too large and therefore increase the risk of intraoperative fractures. It enables static or dynamic locking of 4 multidirectional proximal locking screws and 2 distal locking screws. Senior trauma surgeon murnau trauma center murnau germany rosemary buckle, m. Solid humeral nail uhn and proximal humeral nail phn surgical technique. 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. Pdf proximal humerus fractures are the third most common fracture in the elderly. Dfn distal femoral nail surgical technique depuy synthes 7 6 the distal femoral nail may be used for either reamed or. The trigen humeral nail provides new possibilities for the treatment of proximal humeral fractures and humeral shaft fractures. Utilizing the trigen sureshot distal targeting system. Nevertheless, modern humeral nail families include both a diaphyseal nail and a proximal nail expert humeral nail ehnao or t2 humeral nail stryker and others. Bixcut im reamer system designed to reduce reaming pressure. T2 proximal humeral nail intermedulary nail system t2 humeral nail intermedulary nail system. Determine nail length the approximate nail length can be determined pre operatively.
Solid humeral nail uhn and proximal humeral nail phn. 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. Distal humeral component distal end accepts bearing insert, axle bushing and axle pin and provides an. T2 ar humeral nails require all 4mm locking screws. 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. The modular implant system, consists of a short and long nail with multiple locking options, in order to address simple and complex fractures. Pdf flexible intramedullary nailing for treatment of.
Uniflex humeral nail surgical technique zimmer biomet. All t2 humeral phn nails require the exchange of the 2. Phil charlwood speaks at the boa congress 2016 on humeral nailing and entry point and patient positioning. Surgical technique uhnphn humeral nailing system depuy synthes 7 2. Indications the t2 humeral nail is intended to provide temporary stabilization of various types of fractures, malunions and nonunions of the humerus. The evolution of stryker nailing has incorporated input. Humeral shaft fractures and nailing approach there is still an ongoing discussion about the approach for humeral nailing. The humeral cavity, as the main parameter in nailing, however, has been neglected in recent literature. Surgical technique this publication is not intended for distribution in the usa.
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