The humeral nail system can be used with or without the sureshot distal targeting system. Ashmore jp, krewski d, zielinski jm, jiang h, semenciw r, band pr. Trigen intramedullary nails im nails used to treat femur. 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 video is intended for health care professionals practicing in the united states and canada only. The goal of antegrade humeral nailing of proximal humerus fractures is to provide stability to a. Trigen humeral nail surgical technique pdf writer telegraph. Next generation distal locking for intramedullary nails using an electromagnetic xrayradiation free realtime navigation system. Expert humeral nail and expert proximal humeral nail. For fractures of the proximal humerus with diaphyseal extension and combined fractures of the proximal humerus and the humeral diaphysis, the three lateral screws greater. Final seating of the screw should always be under manual control using the straight ratcheting driver to avoid over insertion of the screw in osteoporotic bone.
However, the surgeon should always be aware of how to use the free hand technique in. The trigen humeral nail system is indicated for proximal andor diaphyseal fractures of the humerus, nonunions. Residual interfragmentary gap after intramedullary nailing of fragility. 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. Download download trigen humeral nail surgical technique pdf writer read online read online trigen humeral nail surgical technique pdf writer official fulltext paper pdf.
For the proximal humerus, the selflocking screw type of the im nail trigen humeral nail. Jointpreserving palliative surgery using selflocking screws of. The trigen intertan nail was designed as a trochanteric portal intramedullary nail especially shaped for fractures of the proximal femur. 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. Fluoroscopic freehand and electromagneticguided targeting system for distal locking screws of humeral intramedullary nail. Titanium nail is hammered down inside humeral shaft and across fracture site. The best sleeping position for back pain, neck pain, and sciatica tips from a physical therapist duration. Trigen intramedullary nailing system trigen sureshot distal targeting system trigen meta nail retrograde femoral nail trigen meta nail tibial nail trigen meta nail 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 trigen humeral nail provides new possibilities for the treatment of proximal humeral fractures and humeral shaft fractures. Technique guide this publication is not intended for distribution in the usa. Repair of traumatic humeral fracture with titanium rod nail and screws. A distallock electromagnetic targeting device for intramedullary. Pdf proximal humerus fractures are the third most common fracture in the elderly. Pdf fluoroscopic freehand and electromagneticguided.
Proximal locking should be conducted using the standard image intensification free hand technique. The first and only virtual realtime imaging system for distal locking, new technology that offers full surgeon control, a reduction in radiation exposure, and shorter procedures from im nailing. Pdf intramedullary nailing of the proximal humerus. The compliance of the nail construct was adjusted by overdrilling the near cortex reliable fracture union since the surgeon can.
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