The technique description herein is made available to the healthcare professional to illustrate. These nails have been designed for specific applications to help restore the shape of the fractured bone to. Surgical technique of pfn insertion 4a nail entry point, 4b. Trochanteric stabilizing plate has performance similar to im devices. Indications for imhs nailing were reverse oblique fractures, subtrochanteric fractures and type 5 evansjensen fractures.
Gamma3 nail 180 the anatomical shape of the nail is universal for all indications involving the treatment of trochanteric frac. Patient positioned with operative extremity adducted for intramedullary nailing. Affixus hip fracture nail surgical technique zimmer biomet. It must lie along the axis of the femoral neck in both the ap and lateral views, and parallel to the anteversion wire. Postoperative pain after hip fracture is procedure specific. Surgical technique dhs continued 8 synthes dhsdcs dynamic hip and condylar screw system technique guide 3 confirm placement confirm placement of the 2. The new subtrochanteric lag screw provides more clinical options. The technique description herein is made available to the healthcare professional to illustrate the. Proper patient preparation starts with a patient history to identify potential contraindications. Dynamic hip screw an overview sciencedirect topics.
Trigen meta nail tibial nail system surgical technique. A text and atlas by edward krull md author, elvin g. The affixus hip fracture nail system, comprised of short and long nails, provides surgeons with an intramedullary hip screw to stabilize fractures of the proximal. Optimum surgical technique can minimize the risk of implantrelated.
Gamma3 nail 180 all nails use the same lag screws, set screw, distal locking screws and end caps see fig. They are characterized by their anatomic shape, which is intended to replicate the natural anatomic shape of the various long bones in the human skeleton. M50 business park, ballymount rd upper, ballymount, dublin 12, d12 fy26, ireland. Everyday low prices and free delivery on eligible orders. The surgical technique is identical to that of a sideplate in terms of fracture reduction, and lag screw location and insertion. Use watsonjones or modified smithpetersen approach. Imhs and orif intertrochanteric fractures princeton orthopaedic.
The literature search resulted in numerous reports regarding intraoperative and postoperative complications and technical errors with intramedullary hip nailing for fractures. The long imhs has a distal diameter of 10 mm and 12 mm is available in lengths of 34 cm, 38 cm, and 42 cm. Intramedullary fracture fixation, femoral fractures and nails researchgate, the. Intramedullary hip screw fixation for proximal femoral fractures. Orthopedic trauma zimmer natural nail system zimmer. Both types of imhs nails have a proximal diameter of 17. The set screw is preloaded and cannulated to allow nail insertion over a ball tip guide rod, removing steps from the technique. Comparing two intramedullary devices for treating trochanteric. Nail surgery is a precise technique that requires careful administration and attention to details. Imhs nail allows for accurate surgical technique, for both static and dynamic compression and high rotational stability. The authors evaluated five patients who presented pincer. It is always important to range the hip after surgery with fluoroscopy to ensure no inoutin.
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