Antegrade and retrograde nail insertion are equally popular. All implants of the t2 proximal humeral system are made from type ii anodized titanium alloy ti6al4v to maximize mechanical strength and biocompatibility. While maintaining fracture reduction by manual manipulation, the guide wire is passed through the fracture. Jun 01, 2012 humeral nonunion is defined as a fracture with no evidence of healing 24 weeks after injury. Metaanalysis of locking plate versus intramedullary nail for.
The humeral nail of medimetal was developed to treat variously located diaphyseal fractures. Jun 30, 2009 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 solid nail design of the short nail 150mm should not require additional reaming for nail insertion. Fissures or fractures at the insertion site were noted in 5% of cases. We combined the search terms proximal humeralhumeral fracture, internal fixationlocking plate fixation, and intramedullary nailnail. A second nail driving guide wire of the same length is used to measure the length of the medullary canal figure 7. Treatment of proximal humerus fractures with the stryker t2 proximal humeral nail. T2 proximal humeral nail the t2 proximal humeral nail is intended to be used for various types of proximal andor diaphyseal fractures of the humerus. 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. This allows the insertion of a lateromedial locking bolt into the humeral head distally to the rotator cuff. 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. Versanail humeral proximal nailing system sales sheet. The 6 lateral bend allows insertion of the nail along an almost straight path. 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.
T2 stryker figure 3 while nails that provide this interlock with means other than. The role of nailing as opposed to plating of humeral fractures is the subject of continuous debate. To complement the t2 nailing system, stryker trauma has created a new generation humeral implant. Pdf internal fixation of proximal humeral fractures with a. Apr 21, 2017 tin tibia intrameduller kilitli civi tibia intramedullary locking nail duration. A biomechanical comparison of stryker t2 and synthes uhn intramedullary nailing of humeral shaft fractures has become a. The trigen humeral nail provides new possibilities for the treatment of proximal humeral fractures and humeral shaft fractures. Pdf intramedullary nailing of the proximal humerus. Internal fixation of proximal humeral fractures with a polarus humeral nail article pdf available in journal of orthopaedics and traumatology 93. 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. Proximal humeral nail diaphyseal humeral nail 79 mm 5. Nail, t2 supracondylar nail, t2 recon nail, the indications have extended from shaft fractures to fractures of the metaphyseal regions. The aim of the study was to stress out the complexity of appropriate operative treatment of humeral shaft fractures using intramedullary fixation, as well as the importance of proper reduction and stable fixation.
Get info of suppliers, manufacturers, exporters, traders of humerus nail for buying in india. 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. In an effort to avoid the rotator cuff footprint during humeral nail insertion, knierim et al 14 reported the neviaser portal approach to antegrade humeral nailing in a cadaveric study. Find here online price details of companies selling humerus nail.
Short 150 mm and long 185320 mm, in 15 mm increments. Although based on the wellknown t2 platform, the t2 proximal humeral nail design incorporates a. Versanail humeral proximal nailing system 4 the humeral proximal nail is designed to treat proximal humeral fractures. Versanail humeral proximal nailing system zimmer biomet. One implant, two approaches stryker trauma has created a new generation locking nail system, bringing together all the capabilities and. The t2 humeral nail offers multiple locking modes static, controlled dynamic and. Proximal humerus fractures are one of the most common fractures. The technique is easy to perform and has significant benefits in minimizing surgical exposure, decreasing operative time and decreasing blood loss. Humeral nailing system stryker pdf catalogs technical. This case demonstrates a softtissue sparing technique of humeral shaft fixation using a humeral intramedullary nail. With the patient under general anesthesia, a standard longitudinal skin incision. 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, stryker osteosynthesis has created a humeral implant. All surgical techniques are available as pdf files at. For antegrade nail insertion, the patient is placed in a semisited position on a radiolucent table. Indications the t2 humeral nail is intended to provide temporary stabilization of various types of fractures, malunions and nonunions of the humerus. Pdf intramedullary nailing of the humerus is controversial.
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. Nailing system intramedullary nail for treating humeral shaft fractures. T2 proximal humeral nail is intended to provide temporary stabilization of various types of fractures, malunions and nonunions of the humerus. Central insertion improves fixation through interference between the subchondral bone at the entry point and the proximal end of the nail. Types of fractures include, but not limited to fractures of the humeral shaft, nonunions, malalignments, pathological. The t2 proximal humeral nail is intended for single use only. Oberdorf, switzerland 16 %, stryker t2 nail stryker orthopaedics.
Verify the position of the nail with the image intensifier. Between may 2005 and june 2006, we operated 29 2part humeral fractures. The risk of losing reduction of fragments during insertion is thereby minimized. It can be used universally for either the left or right humerus. Nonunion of humeral shaft fractures following flexible. 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. A search of the pubmed 1966october 2014, embase 1980october 2014, and cochrane databases 1966october 2014 was performed for eligible trials. The russelltaylor humeral nail smith and nephew, richards was used in all patients. Intramedullary locked nailing is becoming a popular alternative treatment.
Proximal humeral fractures and intramedullary nailing. Diaphyseal humeral fractures and intramedullary nailing. Intramedullary splintage, either with a nail or with rush rods, has virtually no place in the treatment of acute humeral fractures. Check the reduction and read off the nail length from the image of the ruler. The expert humeral nail can be inserted into the humeral shaft in both antegrade and retrograde directions. The aim of this study is to compare the functional and radiological results of philos plate and nhpt2 nail for the treatment of displaced 2part proximal humeral fractures. Pdf intramedullary nailing of humeral shaft fractures. Centronail humeral nailing system humeral nailing system one design for left or right humerus proximal bend 15 proximal humeral nail. Unique proximal screw configuration enhances fragment fixation 4. 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. Not only can the nail or rush rod or kuntscher nail easily lead to damage and stiffness of the shoulder joint because of interference with the rotator cuff, but they also fail to provide sufficient stability. Surgical technique multiloc humeral nailing system 2 ao principles 4 indications 5 screw configuration 6 multiloc proximal humeral nail short 6 multiloc humeral nail long 8 clinical cases 10 preoperative planning patient positioning and approach 14 entry point 18 opening of the humerus 20 open medullary canal 20 reduce fracture and ream. During the 2011 meet the experts session, paulo barbosa from the intramedullary nailing group and stefaan nijs from the upper extremity group discuss the benefits of using the multiloc nail in proximal humeral fracture fixation in high and low energy trauma. Intramedullary nail for treating humeral shaft fractures.
Insert the nail until the nail tip protrudes only slightly into the humeral head. The selection of the implant was not randomized, but it was surgeon choice. Outcomes of intramedullary nailing for acute proximal humerus. The authors concluded that retrograde nailing is technically more demanding than antegrade nailing 3. There were 15 patients operated with the nhpt2 nail group a and 14. Humeral nail designs have undergone significant innovation during the past 40 years and now can provide stable fixation in the humeral shaft. Extended neviaser portal approach to antegrade humeral nailing. Between 1997 and 2005, 99 acute fractures of the humeral shaft were treated operatively with the unreamed humeral nail uhn, synthes in our level i trauma centre. Uniflex humeral nail surgical technique zimmer biomet. Intramedullary fixation of proximal humerus fractures. The aequalis humeral nail has been designed to maximize tuberosity fragment fixation and provide stable support for the humeral head, resulting in improved proximal humeral reconstruction and fixation in osteoporotic bone. Comparative study between locking plates versus proximal. We tested the synthes phn proximal humerus nail and expert phn, the smith and nephew trigen phn straight version, the stryker t2. Stryker osteosynthesis has created a locking nail system.
The t2 proximal humeral nail is intended to be used for various types of proximal andor diaphyseal fractures of the humerus. Examples of specific indications according to ao classification include type afractures, dislo. In both surgical approaches, the special hole geometry of the nail ensures an optimal position of the locking holes. The solid humeral nail uhn can be used for an antegrade or retrograde insertion in the humeral shaft, and can be employed universally for the left and right humeri. As a result there is no consensus on many aspects of the humeral nailing.