A cadaveric biomechanical study comparing the ease of. Titanium trochanteric fixation nail system instrument assembly blade guide sleeve, for trochanteric fixation nails 357. This helps to create an improved environment for bone healing, accelerating the patients return to previous mobility and function. Original instruments and implants of the association for the study of internal fixation ao asif synthes screw reference chart reference chart. This described technique is a nondestructive method that can effectively assess the internal external 3d geometric data of the femur the obtained. Revision surgical technique using sigma tc3 rp with mbt revision and stem extensions. Tfnavanced surgical technique animation depuy synthes. A surgical technique animation for the tfnadvanced cephalomedullary nail. Intramedullary nailing implants consist of metallic interlocking nails, interlocking. The science and art of medical care is to provide the right solution for each individual patient. Introduction indications the synthes locking compression platesnarrow and broad, are intended for fixation of various long bones, such as the humerus, femur and tibia. Hip fracture fixation with nails thoughts, techniques and tips.
Tfna proximal femoral nailing system the distal aiming device dad for simplified universal nails s. Tfn advanced proximal femoral nailing system tfna the tfn advanced proximal femoral nailing system tfna is designed to advance hip fracture treatment with. Reference chart synthes usa 2 wrights lane east west chester, pa 19380 telephone. Synthes case solution and analysis, hbs case study. All surgical techniques are available as pdf files at. Please refer to technique guide for indications and complete instructions for use. Proximal humeral nail humeral nailex proximal humeral nailex spiral blade for humeral nail and humeral nailex trochanteric fixation nail tfn helical blade for tfn solid femoral nails, 9mm12mm cannulated. Class 2 device recall synthes titanium trochanteric fixation. T2 gtn nailing system the t2 im nailing platform offers a combination of innovation, simplicity and versatility that is designed to suit your various needs. It is the worlds largest maker of implants to mend bone fractures, and also produces surgical power tools and advanced biomaterials.
When treating a periprosthetic fracture, the nail should be positioned so that it does not come in contact with the in situ device. Posterior lumbar interbody fusion plif instruments technique guide synthes instruments 394. Reference chart synthes usa 2 wrights lane east west chester, pa 19380. It is acknowledged that several alternative approaches to certain elements of the procedure are available, and may have advantages for particular situations or surgeons. Therefore, new intramedullary techniques are under development, and we here report our results with the novel trochanteric fixation nail tfn. First results with the trochanter fixation nail tfn.
Most of the market for sales of screws, plates, bone grafts and other products to treat skeletal injuries. Synthes has not tested compatibility with devices provided by other manufacturers and assumes no liability in such instances. Medical equipment synthes delta xtend manual 60 pages. Synthes screw reference chart cambridge orthopaedics. This described technique is a nondestructive method that can effectively assess the internal external 3d geometric data of the femur the obtained data is useful to develop a proper design of. Synthes tfn system consists of a cannulated femoral nail, a cannulated helical blade and a cannulated nail end cap. Expedium verse medical equipment pdf manual download. View and download synthes tfn technique manual online. Accolade ii femoral hip system surgical technique previously lsp76 hipaccolade ii. Synthes trochanteric fixation nail tfn system stryker gamma3tm nail system device description.
Intramedullary nailing, combined with the ao technique, provides relatively stable fracture. Request pdf first results with the trochanter fixation nail tfn. Instructions for use intramedullary nailing implants. Pdf fixation failure of the lcp proximal femoral plate 4. Nail length, locking screw length and nail cap size may be determined. Surgical technique new directions classic supine position leg positioning.
Class 2 device recall synthes titanium trochanteric. Trochanteric fixation nail synthes, raynham, ma, usa. Once the technique has been learned, the surgeon should find the operative procedure simple to implement. Tfna proximal femoral nailing system surgical technique depuy synthes 11 5 determine nail diameter instrument 03. The synthes lcp proximal tibia plate is intended for treatment of nonunions, malunions.
Synthes tfn titanium trochanteric fixation nail system technique guide. Insert blade guide sleeve assembly through the aiming arm. During the last decade, proximal femoral nail antirotation pfna, synthes. The head element should be centered in the ap and lateral. Surgical technique implant selection the trigen intertan nail preoperative template set 71674200 may be used to assist with preoperative implant selection. A complication rate between 418% for the conventional osteosynthesis of the proximal femur fracture continues to be unacceptable even if increasing age and comorbidity of patients are taken into account. Note as template magnification levels are set at 117%, all measurements are estimates of true size. Attach the helical blade to the helical blade inserter. Tfn and proximal femoral nail pfn im hip screw products. Surgical technique 2 lateral clavicle fractures incision through a standard surgical incision, taking care not to disrupt the surrounding soft tissues, expose the outermost part of the clavicle, the fracture site, and the acromioclavicular joint.
Titanium trochanteric fixation nail system quick reference. Synthes titanium trochanteric fixation nail insertion set. Medical equipment synthes expedium verse system manual 64 pages. This operative technique has been devised in consultation with leading surgeons in many countries to be a basic guide, particularly for less experienced users of the gamma3 system. The synthes tfn screw is a threaded component composed of titanium alloy which is intended for use with synthes trochanteric fixation nails to provide stabilization of fractures of the proximal femur. Trochanteric fixation nail with helical blade compared with. More than five years in the making, this system offers advancement in hip. Chiodo omerale multiloc synthes by cristiano ravagnani. Synthes titanium trochanteric fixation nail tfn system. Accolade surgical protocol previously lasst adm x3 mobile bearing hip system surgical protocol for us previously lsp64 hiprestoration adm. The aim of this operative technique manual is to provide the surgeon with a simple stepbystep operating guide to aid in successful addition of the gamma3 system into their standard trauma care. The tfna system is designed to solve a wide range of unmet needs for surgeons, or staff, and administrators. Synthes holding ag formerly synthesstratec is a multinational medical device manufacturer based in solothurn, switzerland and west chester, pennsylvania, united states.
Hold the radiographic ruler perpendicular to the femur. Large fragment locking compression plate lcp technique guide. The t2 tibial nailing system offers the competitive advantages of. This content is intended for health care professionals in the united states only. Short versus long cephalomedullary nailing for the treatment of intertrochanteric hip fractures. The synthes titanium elastic nail ten for elastic stable intramedullary nailing esin is intended for fixation of diaphyseal fractures of. Not limiting the approach to a certain nailing technique. A shift from rigid stainless steel to flexible titanium created a more adaptable. Synthes tfn titanium trochanteric fixation nail system. Surgical technique implant selection the trigen tan 71180884 and trigen fan 71180497 radiographic templates may be used to assist with preoperative implant selection. Synthes helical blades will be available in three additional lengths, 75 mm, 125 mm, and mm. Tfn titanium trochanteric fixation nail system surgical technique depuy synthes 9 preoperative implant selection use the ao preoperative planner rulers for the titanium trochanteric fixation nail system to determine nail length, nail diameter, femoral neck angle and head element length.
Depuy synthes orthopaedics accredited nursing smart lab trauma 18 ces introduction to a smart lab small fragment lcp, lag screw technique locking plates small fragment lcp, mid shaft radius small fragment lcp, bankle small fragment lcp, cankle 2. Please read these instructions for use, the synthes brochure important information carefully before use. Tfnadvanced proximal femoral nailing system tfna the tfna system is designed to advance the treatment of trochanteric fractures by providing surgical options that help to preserve bone in insertion area due to reduced critical width, improve anatomical fit 1 and increase implant strength. Depuy synthes ecatalog valid globally, except for usa and canada. Medical equipment synthes tfn technique manual 84 pages. Class 2 device recall synthes titanium trochanteric fixation nail tfn system. Hip fracture fixation with nails thoughts, techniques and tips coi disclosure zimmerbiomet. When one surgeon connects with one patient to provide personalized care, the promise of medicine is ful lled.
Gamma3 long nail is intended for fixation of stable and unstable femoral fractures occurring from the base of the femoral neck extending distally to a point approximately 10cm proximal to the intracondylar notch including fractures of the basilar neck, intertrochanteric fractures, peritrochanteric fractures, subtrochanteric fractures and femoral shaft fractures. Consultant, inventor, trauma, etex, knee creations. New advanced nailing system from depuy synthes companies. Tfn titanium trochanteric fixation nail system technique guide synthes. The study was approved by the local ethics committee of the albert schweitzer. Please read these instructions for use, the synthes important information and the corresponding surgical technique guide carefully before use. Synthes trochanteric fixation nail tfn system device description. This provides additional anchoring to the pfna blade, which is especially important in osteoporotic bone. This technique guide describes the more common retrograde technique in detail. A pediatric fork blade plate with multiple screws synthes and a fully threaded. Ensure that you are familiar with the appropriate surgical technique. The letter identified the product, the problem, and the action to be taken by the customer. Tfn advanced proximal femoral nailing system tfna the tfna system is designed to advance the treatment of trochanteric fractures by providing surgical options that help to preserve bone in insertion area due to reduced critical width, improve anatomical fit 1 and increase implant strength.
Medical equipment synthes pelvic cclamp ii manual 20 pages. Apr 14, 2016 tfn titanium trochanteric fixation nail system. Remove the connecting screw and insertion handle using the ball hexagonal screwdriver or the cannulated shaft and ratchet wrench. They are also for use in fixation of osteopenic bone and fixation of nonunions and malunions. Providing locking options for all types of fractures, plus the advanced locking mode for increased rotational stability. Insertion perform temporary fixation of the fracture using kirschner wires or bone holding forceps. Nail size, screw length and femoral neck angle may be determined. View and download synthes expedium verse system manual online. Two lots of titanium trochanteric fixation nail tfn system are missing the second bend in the nail. A potential exists for non conforming synthes titanium trochanteric fixation nail tfn helical blades to be distributed. Titanium trochanteric fixation nail system quick reference chart. Posterior lumbar interbody fusion plif instruments. Compared with techniques like pfn and gammanail, clinical results are.
Synthes case solution, synthes is the recognized market leader in the u. Short versus long cephalomedullary nailing for the. Titanium trochanteric fixation nail system pdf depuy synthes synthes titanium trochanteric fixation nail system. They are also for use in fixation of periprosthetic fractures, osteopenic bone, and nonunions or. Zimmer natural nail system cephalomedullary nail surgical. Synthes sent a field safety notice dated october 3, 20, to all affected customers. The expert hindfoot arthrodesis nail enables an intramedu llary approach for the fixation and the fusion of the ankle and of the subtalar joints. Dhsdcs standard system implants dhs trochanter stabilizing plates 281. This is the tenth in a series of 10 articles discussing the 31 root operations of icd10pcs. Over 1 million times per year, biomet helps one surgeon provide personalized care to one patient.
Proximal femoral nailing system surgical technique. Fixation failure of the lcp proximal femoral plate 4. The synthes titanium elastic nail ten for elastic stable intramedullary nailing esin is intended for fixation of diaphyseal fractures of long bones where the medullary canal is narrow or flexibility of the implant is paramount. The synthes titanium trochanteric fixation nail tfn system.