Salvage of congenital pseudarthrosis of the tibia by the. Stryker triathlon surgical manualline pdf download. T2 tibial nailing system operative technique, 325 corporate dr. Stryker has created a next generation locking nail system, bringing together all the capabilities and benefits of separate nailing systems to create a single, integrated surgical resource for fixation of long bone fractures. The nailing system s targeting device is made of radiolucent carbon fiber and features our patented friction locking mechanism. Nailing systems, thereby reducing complexity and inventory. Recently, suprapatellar nailing in the semiextended position has been suggested as a safe and effective surgical technique. Mcqueen, md associate clinical professor of orthopaedics department of surgery university of kansas school of medicine. Used with the t2 tibial nailing system, the spi instruments offer an alternate method for the insertion of tibial nails in a suprapatellar approach. The t2 supracondylar nailing system offers the advantages of a unique locking configuration and targeting concept, allowing superior fixation in the distal femur, using the. Before the operation, it is recommended to examine patellar laxity on the injured leg, or as an alternative the healthy leg.
The information presented is for educational purposes only. Trigen metanail tibial nail specifications driving end of nail all knee and distal tibial top view of nail nondriving end of nail ml view ap view set does not include all sizes. May 10, 2017 stryker continues to build on its history of innovation with the introduction of the t2 tibia suprapatellar instrument spi system. T2 tibial nailing system, stryker orthopedics has now created a new generation locking nail system, bringing together all the capabilities and benefits of separate nailing systems to create a single, integrated surgical resource for fixation of long bone fractures. Triathlon knee system anterior referencing surgical protocol acknowledgments stryker orthopaedics wishes to thank dr. T2 supracondylar nailing system cambridge orthopaedics. Suprapatellar nailing of tibial fractures is a simple method with many advantages over traditional tibial nailing. Xrayruler thediameteroftheimplantsshould beabout40%ofthediameterofthe intramedullarycanalmeasuredonthe xray. Ankle arthrodesis nailing system this publication sets forth detailed recommended procedures for using stryker devices and instruments.
The t2 tibial nailing system is indicated for long bone fracture fixation. Image posted in nail, tibia, trauma tagged intramedullary nail, operative technique, stryker, tibia. General notes the following notes apply to all t2 im nails except t2 kids unless separately delineated either below or on the important facts page for each nail. The ball tip at the end of the guide wire will stop the reamer head. Trigen meta nail tibial nail system surgical technique. In addition to the t2 femoral nailing system, stryker developed the t2 supracondylar nail scn for the treatment of complex distal femoral fractures. The suprapatellar approach has potentially offered solutions to these problems. Suprapatellar nailing of tibial fractures is a simple method. Treatment was with the induced membrane technique using gentamicinloaded palacos bone cement zimmer biomet, warsaw, in, usa, realignment of the leg, and internal fixation via the transplantar retrograde implantation of a t2 tibial nail stryker, kalamazoo, mi, usa, after resection down to bone devoid of macroscopic dystrophy. 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. The tibial reamer is used to prepare the tibial canal. Stryker trauma has created a new generation 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. T2 nails may all require additional reaming for the proximal driving section beyond 1 to 1.
T2 tibial nailing system operative technique stryker. T2 pocket reference yker nailing cards university of iceland. Suprapatellar versus infrapatellar approaches in the. Intraoperative fluoroscopy time and radiation dose during. T2 ankle arthrodesis nail the t2 ankle arthrodesis nail offers strong biomechanical intramedullary stabilization using cannulated implants for the tibiotalocalcaneal fusion. Establishing an appropriate starting point is a crucial part of the surgical procedure. Preoperative evaluation of intramedullary tibial nail measurements. Universal tibial nail ii surgical technique youtube. Stryker has created a next generation locking nail system, bringing together all the capabilities and benefits of nailing systems to create a single, integrated surgical resource for fixation of longbone fractures. Pre operative planning 6 pre operative planning 6 locking options 6 5.
Manipulate and reduce the fracture in the usual fashion, according to the. However, it is recommended to position the patient in supine or lateral position on a fracture table, to allow closed reduction of the fracture fig. The t2 alpha tibia nailing system, previously cleared in k191271, is a fracture fixation system and includes sterile implants tibial nails in various diameters, compression screw tibia and end caps as well as nonsterile instruments targeting devices. The nails are inserted using an opened or closed technique and can be statically, dynamically and compressed locked. Other medical or surgical conditions which would preclude the potential benefit of surgery. In purpose to avoid bias due to poor surgical technique, before requirement, two senior orthopaedic surgeons examined the surgical result to be grossly satisfactory. The best sleeping position for back pain, neck pain, and sciatica tips from a physical therapist duration. Increased proximal locking options more distal locking pattern with most distal hole remaining 5mm from tip up to 7mm of active internal compression angular. This method could also be applied for surgical debriefing. The t2 instrument platform offers advanced precision and usability, as well as ergonomically styled targeting devices. Class 3 device recall t2 ankle arthrodesis nail surgical. The 8mm t2 tibial nail can only be locked distally with 4mm fully threaded screws.
Accolade surgical protocol previously lasst adm x3 mobile bearing hip system surgical protocol for us previously lsp64 hiprestoration adm. These courses are to offer training and education on the safe and effective use of aforementioned stryker products. Suprapatellar instrumentation for titanium cannulated tibial. Stryker trauma has created a new generation locking nail system, bringing together all the capabilities and benefits of separate nailing. T2 proximal humeral nail, t2 supracondylar nail, t2 recon nail, the indications have extended from shaft fractures to. Position the carm for an ap view of the distal tibia. There is room for development of the method and improvement of instruments. The nails are inserted using an opened or closed technique and can be statically. The t2 tibial nailing system is the realization of superior biome chanical intramedullary stabilization using small caliber, strong cannulated implants for internal fixation of long bones. The s2 tibial nail offers the following competitive advantages. Sequentially ream in half millimeter increments to 0. The t2 nailing platform is designed to treat a wide range of fractures in the upper and lower extremities. Radiographic templating and intra operative measurement will determine nail size.
According to the fracture type, the system offers the option of different locking modes. T2 tibia spi offers two size options of drill sleeve available to accommodate nail diameters 8mm. Compression screw and fully threaded end cap creates a fixed angle construct. Read nail length directly from the ruler image, selecting the measurement at or just below the level of the. Used with the t2 tibial nailing system, the t2 tibia suprapatellar instrument system offers an alternate method for the insertion of tibial spi nails in a suprapatellar approach with the patients in a semiextended position. Tibial retrograde operative technique allfractures proximal humerus opening construct humerus midshaft opening construct.
Like other nails in the t2 family, the t2 ankle arthrodesis nail. Ankle arthrodesis is a challenging procedure due to poor host conditions e. Beside the t2 femoral nail with a 3m radius of curvature, stryker offers also a 1. An advantage of the suprapatellar tibial nail is in the reduction and stabilisation of proximal tibial fractures. Stryker gamma3 and t2 intramedullary nailing gamma 3. T2 ankle arthrodesis nail surgical protocol, catalog number lt2aaot, stryker orthopaedics the surgical protocol instructs surgeons on proper surgical technique for the t2 ankle arthrodesis nail. The t2 supracondylar nailing system offers the advantages of a unique locking configuration and targeting concept. This study demonstrates the suprapatellar nailing technique lowers the use of intra operative fluoroscopy as measured by time and dose. Stryker t2 tibia system nail insertion sleeve, elastic, sterile, a ref 18061406s, spi 0811 and b ref 18061407s, spi 08. T2 nailing our history of continuous evolution and surgeon partnership has resulted in the comprehensive t2 nailing platform to treat a wide range of fractures in the uppper and lower extremities. View and download stryker t2 operative technique online. 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. Although based on the wellknown t2 platform, the t2 proximal humeral nail design incorporates a.
The t2 supracondylar nailing system offers the advantages of a unique locking configuration and targeting concept, allowing superior fixation in the distal femur, using the already. The purpose of this article is to present a simple technique for suprapatellar nailing spn of tibial fractures providing stepbystep instruction supplemented with relevant illustrations. Read carefully for tips, pointers, and other facts. Mar 02, 2017 tibial bone transport over an intramedullary nail using cable and pulleys duration. Operative technique allfractures nail selection instrument. Numerous reduction techiques are available to achieve an anatomic. T2 alpha t2 alpha tibia nailing system, imn screws system and imn instruments system caution use instrumentsimplants only as described in this operative technique to avoid damage to instrumentsimplants, bone or soft tissue.
Intramedullary nail for treating proximal, distal, as well as midshaft tibial fractures. Tibial reaming the tibial reamer is used to prepare the tibial canal figure 5. To complement the t2 nailing system, stryker trauma has created a new generation humeral implant. Preoperative evaluation of intramedullary tibial nail. 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 pediatric patients. The core instruments of the t2 system provide the platform for all current and future stryker trauma nailing systems, thereby reducing complexity and inventory. As with all diameters of t2 tibial nails, the proximal screws are 5mm. Make the appropriate 5mm or 10mm tibial augment resections. One common compression screw to close the fracture site, and end caps in eight sizes are available to provide a best fit for every indication. Tibial retrograde operative technique allfractures.
Dec 12, 2015 statically locked, reamed intramedullary nailing remains the standard treatment for displaced tibial shaft fractures. A postmarket clinical evaluation of the treatment of femur. Operative technique 11 patient positioning 11 incision 11 entry point 12. Gilbert taglang, multidisciplinary trauma surgeon, consultant designer of stryker s. T2 8mm nails require the use of 4mm fully threaded locking screws distally and 5mm proximally. Nail selection determine nail diameter from image intensifier, templating, or sounding the canal.
Jul 10, 2019 subjects in the clinical investigation will undergo placement of the femoral nail gt of the t2 alpha femur antegrade gtpf nailing system which allows for insertion through the tip of the greater trochanter, according to the approved instructions for use and operative technique manual. Furthermore, the development of the t2 femoral nailing system offers the competitive. T2 ar humeral nails require all 4mm locking screws. Operative technique t2 femoral nailing system note. The t2 ankle arthrodesis nail should not be used if following conditions are present. Refer to the t2 femoral nailing system operative technique cat. Suprapatellar instrumentation for titanium cannulated tibial nail expert system technique guidesynthes 11 move the carm to the proximal tibia, replace the distal end of the ruler at the skin mark, and take an ap image of the proximal tibia. Harwin, principal contributor, for his extensive help in the writing of the ar surgical protocol.
Pediatric nailing system intramedullary nail for treatment of middiaphyseal, proximal and distal fractures of the femur, tibia and fibula in pediatric patients. Used with the t2 tibial nailing system, the spi instruments. Expert tibial nail surgical technique depuy synthes 5 indications the expert tibial nail is indicated for fractures in the tibial shaft as well as for metaphyseal and certain intraarticular fractures of the tibial head and the pilon tibiale. In addition to the t2 femoral nailing system, stryker trauma developed the t2 supracondylar nail scn for the treatment of complex distal femoral fractures.
An accurate selection of tibial nail and screws measurements is. The t2 tibial nailing system represents the latest and most comprehensive development of the original intramedullary principles presented by prof. Except for the addition of a small number of dedicated instruments, the t2 femoral instrument platform is used for the t2 ankle arthrodesis nail. As an addition to the t2 nailing system, stryker trauma has created a new generation femoral implant. Place the assembly on the resected tibial plateau and using the headed. The t2 tibial nailing system is intended to provide temporary stabilization of various types of fractures, malunion and nonunion of the tibia. More distal locking pattern with most distal hole remaining 5mm from tip. Nail, t2 supracondylar nail, t2 recon nail, the indications have extended from shaft fractures to fractures of the metaphyseal regions. Stryker gamma3 and t2 intramedullary nailing 2011 surgeon course program surgery transmission and cadaver demonstration. The t2 tibial nailing system represents stryker s latest and most comprehensive development of the original intramedullary principles presented by prof. Surgical technique phoenixtm tibial nail system featuring corelocktm technology each nail features corelocktm technology, a preassembled, embedded locking mechanism for locking all proximal oblique screws, which can also be used to internally mechanically compress up to 5mm for a variety of tibial fractures.
Radiolucent targeting arms with easy assembly and friction lock technology. Stryker has created a next generation locking nail system, bringing together all the capabilities and benefits of separate nailing systems to create a. T2 tibial nail posted on 14 february 2016 by staff image posted in nail, tibia, trauma tagged intramedullary nail, operative technique, stryker, tibia, trauma leave a comment. Stryker trauma has created a new generation locking nail system, bringing together all the capabilities and benefits of separate nailing systems to create a single, integrated surgical resource for fixation of long bone fractures 1. Dr eric strauss presents an overview tibial tubercle avulsion fractures and his indications for operative management, as well as his surgical technique in. Stryker orthopaedics also wishes to thank the following orthopaedic surgeons. Type ii annodization allows for enhanced fatigue strength 1. Operative technique t2 supracondylar nailing system patient positioning retrograde nail insertion is performed with the patient supine on a radiolucent table. Data were analysed from a prospectively collected database over a 3year.
Expert tibial nail surgical technique depuy synthes 11 3 confirm nail length and diameter instrument 03. The advantages of using intramedullary fixation for the treatment of proximal femur fractures include less soft tissue dissection and. Titanium elastic nail system tg limelight networks. Remove the revision tibial resection guide from the tibia. In addition to the t2 femoral, tibial, and humeral nailing systems, stryker developed the t2 arthrodesis nail to provide treatment of knee arthrodesis. Assemble the appropriate tibial augment trials to the distal surface of the universal tibial template. The t2 im nailing platform offers a combination of innovation, simplicity and versatility that is designed to suit your various needs. External distal targeting device for safe insertion of distal locking screws when performing long gamma nail. Triathlon knee system anterior referencing surgical protocol. The t2 tibial nailing system is the realization of superior biomechanical intramedullary stabilization. The aim of this study was to investigate the learning curve of the suprapatellar technique using radiation exposure as an outcome measure. Someindividualadaptationsare toleratedbutexperiencehasshown thatwhenhesitatingbetweentwo. Operative technique the t2 arthrodesis nail is inserted with the existing t2 femoral instrument set.
Sirus intramedullary tibia nail system surgical technique. Rontis hellas distributes the following nailing systems from stryker. One common compression screw to close the fracture site, and end caps in eight sizes are available to provide an improved fit for every indication. February 23, 2020 stryker trauma gmbh sanja jahr senior. The t2 tibial nailing system represents strykers latest and most comprehensive development of the original intramedullary principles presented by prof. Phoenix tibial nail system featuring corelocktm technology. Accolade ii femoral hip system surgical technique previously lsp76 hipaccolade ii. The affected lower extremity and hip region are freely draped, and the knee is placed over a sterile bolster.
917 715 346 1403 357 964 1220 1345 705 262 696 1214 62 1031 1369 1105 1088 252 458 1402 683 858 7 600 1119 789 879 1206 1122 1040 1597 902 942 1273 547 1244 1048 1341 424 1130 61