Nails 5 instruments 5 trays 5 materialadvantages 6 allfractures 7. Pediatric nailing system intramedullary nail for treatment of middiaphyseal, proximal and distal fractures of the femur, tibia and fibula in pediatric patients. Results of the t2 humeral nailing system with special. To complement the t2 nailing system, stryker osteosynthesis has created a humeral implant. For standard shoulder arthroplasty, the patient is positioned in a semifowler beach chair position. Surgical technique step1 begin by performing a resection of the humeral head and humeral canal preparation, as noted in the standard global advantage surgical technique cat. Consult strykers entire humeral nailing system catalogue on medicalexpo. 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.
Image 1 the patients shoulder is brought to the edge of the table to allow full extension of the arm, thus affording exposure of. Despite being a common orthopedic injury, the optimal management of proximal humeral fractures remains a topic of debate. T2 proximal humeral nail, t2 supracondylar nail, t2 recon nail, the indications have extended from shaft fractures to. Although based on the wellknown t2 platform, the t2 proximal humeral nail design incorporates a. Headed nail impactorextractor 65414575 headed nails 34 65414515 headed nails 1 12. Treatment of proximal humerus fractures with the stryker t2 proximal humeral nail. The t2 tibial nailing system represents stryker s latest and most comprehensive development of the original intramedullary principles presented by prof. Twelve patients underwent compression nailing for established humeral fracture nonunion.
Indications the t2 humeral nail is intended to provide temporary. Surgical technique and early outcomes of intramedullary. Check the reduction and read off the nail length from the image of the ruler. Expert retrogradeantegrade femoral nail surgical technique depuy synthes 11 3 measure for length and diameter of nail instruments 03. Operative technique allfractures nail selection instrument.
Although intramedullary nails have been used to treat these frac. The trigen humeral nail system is designed specifically for the treatment of proximal humeral fractures and humeral shaft fractures, and is indicated for the repair of nonunions, malalignments, pathological humeral fractures, and impending pathological fractures. All achieved radiological union at an average of 4. Compression screw and fully threaded end cap creates a fixed angle construct. The t2 im nailing platform offers a combination of innovation, simplicity and versatility that is designed to suit your various needs. This led to the advent of more secure locking mechanisms for proximal screw fixation to allow fixed angular stable constructs. Implantation the prosthesis is implanted and cemented while maintaining proper retroversion about 20 degrees of the humeral head. Thirdgeneration nails evolved to solve the issue of proximal screw loosening and ultimate fixation failure. Surgical technique and early outcomes of intramedullary nailing of displaced proximal humeral fractures in an asian population using a contemporary straight nail design. Types of fractures include, but not limited to fractures of the humeral shaft, nonunions, malalignments, pathological. 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. The surgical technique is available through your local depuy sales representative.
Stryker t2 proximal humeral nailing system surgical technique b009 acumed polarus 3 nail titanium alloy, ti6al4v 140 mm320 mm nail lengths 150 mm280 mm nail lengths 7 mm9 mm diameters available proximal nail 10 mm5. 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. Pyrotitan humeral resurfacing arthroplasty surgical. To complement the t2 nailing system, stryker trauma has created a new generation humeral implant. Treatment of proximal humerus fractures with the stryker. Indications for surgery were defined as dislocated or unstable fracture pattern, softtissue injury, multilevel fractures, multiple injuries and patients.
T2 proximal humeral nail is intended to provide temporary stabilization of various types of fractures, malunions and nonunions of the humerus. The t2 standard humeral nail offers multiple locking modes static, controlled dynamic and compression locking options to allow for ease of use and versatility in care. In this mode the nail has an axial movement range of 6 mm. There is little guidance on which patients are likely to do well with humeral nailing. Pdf intramedullary nailing of the proximal humerus.
Although based on the wellknown t2 platform, the t2 proximal humeral nail design incorporates a number of unique features. Therefore we present our study evaluating the stryker t2 proximal humeral nail t2. Stems are to be cemented and are available with or without extracortical porous coated body sections. Intramedullary nailing of humeral head and humeral shaft. Short humeral nails the short humeral nail enables osteosynthesis of armbone head. The t2 humeral nail is intended to provide temporary stabilization of various types of fractures, malunions and nonunions of the humerus. T2 flexible nail is intended for the temporary stabilization of bone segments or fragments until bone consolidation has been achieved for upper and lower extremity fractures of. Through the development of a common, streamlined and intuitive surgical approach, both in principle and in detail, the t2 arthrodesis. Humeral nailing system stryker pdf catalogs technical. Solid humeral nail uhn and proximal humeral nail phn. This design helps in reshaping the proximal humerus to ensure maximum contact area between the native humerus and the implant. Accolade ii femoral hip system surgical technique previously lsp76 hipaccolade ii.
To complement the t2 nailing system, stryker has created a humeral implant. Operative technique allfractures proximal humerus opening construct humerus midshaft opening construct. The t2 nailing platform is designed to treat a wide range of fractures in the upper and lower extremities. Accolade surgical protocol previously lasst adm x3 mobile bearing hip system surgical protocol for us previously lsp64 hiprestoration adm. For this mode the customer shall use a partially threaded screw but he used a full threaded screw deviation from surgical technique. In both surgical approaches, the special hole geometry of the nail ensures an optimal position of. 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. Shoulder replacement is a surgery performed to replace the arthritic ends of bone and damaged cartilage with prosthetic implants designed to move like a healthy shoulder. According to the operative technique there is only one locking mode with one screw. What is shoulder replacement if nonsurgical treatments and medication do not bring relief and restore mobility, your doctor may recommend shoulder replacement. The stryker t2 proximal humeral nail stryker, kalamazoo, mi, usa, for example, was designed to incorporate a number of features including a small diameter. System, stryker osteosynthesis has created a humeral implant. Operative technique antegrade technique 9 patient positioning and fracture reduction 9. Surgeons may need to make modifications as appropriate in their own surgical technique with these devices depending on individual patient requirements.
Reamed technique 12 nail selection 14 nail insertion 16. Diagnosis of humeral fracture was made on the basis of clinical and radiological assessments fig. Types of fractures include, but not limited to fractures of the humeral shaft, nonunions, malalignments, pathological humeral fractures, and impending pathological fractures. T2 standard humeral nailthe t2 standard humeral nail uses the intramedullary nailing technique in treating humeral shaft fractures. Intramedullary nail for treating proximal, distal, as well as midshaft tibial fractures. This system offers a complete portfolio of implants and instruments, which treats a wide range of humeral fractures using simple and efficient instrumentation. This brochure presents a surgical technique available for use with the biomet, inc. Demonstration of performing proximal humeral fracture fixation with nailing using multi directional locking proximal humerus nail. Proximal humeral nail diaphyseal humeral nail 79 mm 5. More variants of locking allow good fixation of short fragments and optimal reposition of the fractures.
Radiolucent targeting arms with easy assembly and friction lock technology. Between january 2001 and december 2003, 36 consecutive patients with humeral fractures were treated using a t2 humerus nail at the trauma centre, murnau, and were subsequently followed up. 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. Intramedullary nail for treating humeral shaft fractures. We describe a technique using the stryker t2 humeral nail which incorporates a compression system allowing closure of the nonunion fracture gap. This brochure is presented to demonstrate the surgical technique utilized by ralph b. Stryker has created a next generation locking nail system, bringing together all the capabilities and benefits of separate nailing systems to create a.
The reunion rfx system, when used with reunion rsa humeral and glenoid components, is intended for primary, fracture, or revision total shoulder replacement. In addition to the t2 femoral, tibial, and humeral nailing systems, stryker trauma developed the t2 arthrodesis nail to provide treatment of knee arthrodesis. Intramedullary nails t2 recon nailing system wholesale. Management of nonunion of humeral fractures with the.
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. In either approach, the surgeon should consider the appositioncompression feature of the t2 humeral nail, know ing that 6mm of active apposi tion compression. Mrs upper extremity surgical protocol p r o x i m al h u. Type ii annodization allows for enhanced fatigue strength 1. Background surgical treatment of displaced proximal humerus fractures remains controversial. Short and long humeral nail medin proximal humeral nails. Stryker osteosynthesis has created a locking nail system, bringing together all the capabilities and benefits of separate antegrade and retrograde nailing systems to create a single, integrated surgical resource for fixation of longbone fractures. Stryker trauma has created a new generation locking nail system, bringing together all the capabilities and bene.