Humerus lengthening with the precice internal lengthening. Verify the position of the nail with the image intensifier. Intramedullary nailing for displaced proximal humeral. Introduction antegrade intramedullary nailing has been proven to be an effective surgical method in treating humeral neck and humeral shaft fractures. 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. A new rotator interval approach for antegrade humeral. Recovering from shoulder replacement surgery stryker. Aug 18, 2015 short humeral nails the short humeral nail enables osteosynthesis of armbone head.
A humeral nail for the proximal humerus comprising a solid shaft having a longitudinal axis and having a proximal portion with at least three axially threaded transverse bores spaced alone the longitudinal shaft axis, each bore having an axis, which axes are circumferentially angularly offset from each other about the longitudinal shaft axis, at least two of the proximal transverse bores. The gamma3 and t2 platforms address a wide range of indications to meet the evolving needs of our customers. System, stryker osteosynthesis has created a humeral implant. Painful, disabling joint disease of the shoulder resulting from. The t2 proximal humeral nail is intended to be used for various types of proximal andor diaphyseal fractures of the humerus. Humeral nailing system stryker pdf catalogs technical. In the imn group, antegrade intramedullary nailing was used t2 humeral nail, stryker. There are some key considerations to this approach. Besides, the simpler upper third fractures can also be treated as the proximal end of the nail provides three horizontal and an oblique locking positions. Humerus lengthening with the precice internal lengthening nail. Flexible intramedullary nailing for treatment of proximal. The first is to use the joysticks to extend and adduct the hu. Short humeral nails the short humeral nail enables osteosynthesis of armbone head.
Our commitment to innovation and a rich clinical history has enabled us to emerge as a market leader in intramedullary nailing. 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 fixation failure with earlier generation implants. Treatment of proximal humerus fractures with the stryker. One implant, two approaches stryker trauma has created a new generation locking nail system, bringing together all the capabilities and. Created to improve previous designs, the t2proximal humeral nail phn stryker has been recently released, and the english literature lacks a series evaluating its results. Intramedullary nailing provides a stable fixation with minimal soft tissue dissection intramedullary nailing for displaced proximal humeral fractures. Short and long humeral nail medin proximal humeral nails.
Fractures were classified into 2part n8, 3part n17, and 4part n3, and. Phn in 61 displaced fractures of the proximal humerus and, second, to identify which groups of patients are likely to do well and which groups have less favourable outcomes. The depuy synthes proximal humeral nail is intended for use in fractures of the proximal humerus. Uniflex humeral nail surgical technique zimmer biomet. One implant, two approaches stryker trauma has created a new generation locking nail system, bringing. Diaphyseal fractures of the humeral shaft proximal humeral fractures with diaphyseal extension impending pathologic fractures relative ontraindications the following conditions may present an. The t2 humeral nail offers multiple locking modes static, controlled dynamic and. The nail was secured with two proximal locking screws and a distal screw. The system offers the option of different locking modes. However, anatomic alignment of humeral proximal fractures depends upon the position of the entry site, the angle of the entry nail and the pathology of the humeral head fracture, if present.
December 26, 2018 elizabeth jacobs regulatory affairs. To complement the t2 nailing system, stryker osteosynthesis has created a humeral implant. This allows the insertion of a lateromedial locking bolt into the humeral head distally to the rotator cuff. Intramedullary nailing for displaced proximal humeral fractures. The stryker t2 proximal humeral nail stryker, kalamazoo, mi, usa, for example, was designed to incor porate a number of features including a small diameter, left. Humeral shaft fractures and nailing approach there is still an ongoing discussion about the approach for humeral nailing 12, 19. Intramedullary nailing of humeral head and humeral shaft. 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. There is little guidance on which patients are likely to do well with humeral nailing.
Treatment of proximal humerus fractures with the stryker t2 proximal humeral nail. The t2 tibial nailing system is intended to provide temporary stabilization of various types of fractures, malunion and nonunion of the tibia. T2 proximal humeral nail is intended to provide temporary stabilization of various types of fractures, malunions and nonunions of the humerus. Types of fractures include, but not limited to fractures of the humeral shaft, nonunions, malalignments, pathological humeral fractures, and impending pathological fractures. More variants of locking allow good fixation of short fragments and optimal reposition of the fractures. To complement the t2 nailing system, stryker trauma has created a new generation humeral implant. Treatment of proximal humerus fractures with the stryker t2. This brochure is presented to demonstrate the surgical technique. Accolade surgical protocol previously lasst adm x3 mobile bearing hip system surgical protocol for us previously lsp64 hiprestoration adm.
Iuh methodist hospital orthopedic trauma service disclosures stryker trauma research and design consultant speaker board stock. Therefore, the present study aimed, first, to present our experience with the stryker stryker uk ltd, newbury, uk t2. Humeral nailex universal design for the left or right humerus material titanium6% aluminum7% niobium alloy diameters 7. The t2 humeral nailing system is the realization of superior biomechanical intramedullary stabilization. Our objective was to investigate the clinical and radiographic results of the internal fixation using polarus humeral nails for fractures of the proximal humerus.
In either approach, the surgeon should consider the appositioncompression feature of the t2 humeral nail, knowing that 6mm of active apposition compression is possible, prior to deter. 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. A varus proximal humeral deformity and lateral starting point allowed for avoidance of the rotator cu. Keywords antegrade humeral nailing, approach, rotator interval 1. Distal humeral component distal end accepts bearing insert, axle bushing and axle pin and provides an. 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. Small diameter intramedullary implant that requires only a 10mm entrance hole and minimal canal.
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. The nails are inserted using an opened or closed technique and can be static, dynamic and compression locked. Comparison of plate, nail and external fixation in the. Although based on the wellknown t2 platform, the t2 proximal humeral nail design incorporates a. Displaced or unstable fractures require open reduction and internal fixation. Solid humeral nail uhn and proximal humeral nail phn. Our trauma and extremities portfolio offers you marketleading implants for the treatment of long and small bone fractures, as well as extremity joint replacements. A biomechanical comparison of stryker t2 and synthes uhn intramedullary nailing of humeral shaft fractures has become a. Retrograde humeral nail biomet retrograde reamedunreamed 21,22 russelltaylor humeral nail smith and nephew antegrade reamed 2328 t 2 stryker antegraderetrograde reamedunreamed uni. The expert humeral nail can be inserted into the humeral shaft in both antegrade and retrograde directions. Type of use select one or both, as applicable prescription use part 21 cfr 801 subpart d overthecounter use 21 cfr 801 subpart c continue on a separate page if needed. Versanail humeral universal nailing system nail 10 figure 9 figure 10 image intensification can be used to place a kwire through the humeral head in line with the intramedullary axis of the humerus figure 9.
Straight nail with central insertion point designed to avoid. Other complications included avascular necrosis n1, proximal locking screw backout n1, and screw penetration into the joint n1. Instructions for use are found in the information that accompanied the product packaging. Although based on the wellknown t2 platform, the t2 proximal humeral nail design incorporates a number of unique features. The innovative screwinscrew technology offers customizable stability for the individual patient.
Small diameter intramedullary implant that requires only a 10mm. The goal of this study was to evaluate fracture healing and alignment as well as functional outcome and complication risks after internal fixation with the intramedullary proximal humeral nail phn. The retrograde nail length is determined by measuring the distance from 1cm above the olecranon fossa to the center of the humeral head. Multiloc humeral nails provide a comprehensive system for the treatment of humeral fractures. 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. Show all bone void fillers external fixation nailing plating screws shoulder. A humeral nail for the surgical care of fractures of the proximal humerus, with a shaft which has a longitudinal axis and is provided in a proximal portion with at least transverse bores spaced apart in the axial direction. 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 talon distalfix humeral nail system is indicated to aid in the alignment and stabilization of humeral fractures, including.
Phn in 61 displaced fractures of the proximal humerus and, second, to identify which groups of patients are likely to do. The humeral nail of medimetal was developed to treat variously located diaphyseal fractures. The surgical incision was performed from the outer side of the acromion, along the lateral aspect. Types of fractures include, but not limited to fractures of the humeral shaft, nonunions, malalignments, pathological. The main advantages of the technique are limited soft tissue damage in the. Proximal humeral nail diaphyseal humeral nail 79 mm 5. It can be used universally for either the left or right humerus. The nail insertion process must also align humeral proximal fractures.
This device shows promise for applications involving the reconstruction of the humeral shaft and head with minimal soft tissue stripping and for providing a locked, fixedangle construct for. Proximal humeral fractures and intramedullary nailing. Insert the nail until the nail tip protrudes only slightly into the humeral head. Clinical management problems where arthrodesis or alternative reconstructive techniques. Intramedullary nail for treating humeral shaft fractures. 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 system now offers an effective. Stryker trauma has created a new generation locking nail system, bring ing together all the.
Indications the t2 humeral nail is intended to provide temporary stabilization of various types of fractures, malunions and nonunions of the humerus. The uniflex humeral nail system was developed in conjunction with ralph b. Two nails of the same diameter were introduced into the humeral medullary canal and advanced beyond the fracture site, up to the proximal metaphysis of the humerus. The thickness of the nail was chosen to be approximately one third of the diameter of the humeral marrow cavity. Internal fixation of proximal humeral fractures with a. A new rotator interval approach for antegrade humeral nailing. The trigen humeral nail provides new possibilities for the treatment of proximal humeral fractures and humeral shaft fractures. The axis of the three bores are circumferentially offset in respect to each other in planes perpendicular to the longitudinal axis of the shaft. Pdf intramedullary nailing of the proximal humerus.