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