The FRN System provides the choice of Piriformis Fossa (PF) and Greater Trochanter (GT) entry points and anatomical nail designs to support surgical preferences and facilitate hospital standardization. (72 pages), Screw option, for intramedullary fixation of proximal femur fractures (72 pages), Battery driven power tool system for orthopedics and traumatology (88 pages), 3.5 mm extra-articular distal humerus plate (22 pages), Distal radius plate instrument and implant set (17 pages), Programmable valve and tool kit (164 pages), Manual will be automatically added to "My Manuals", Medical Equipment Synthes TRS Instructions For Use Manual, Medical Equipment Synthes Titanium Trochanteric Fixation Insert the Nail manually. The ES Trochanteric Nail is intended for the treatment of basilar neck, inter and high subtrochanteric femoral fractures. Nail Color - Right Tan/Rose Cross Section Round Neck Angle 130º/135º Proximal Diameter (driving end) 13mm Distal Diameter (non-driving end) 10, 11.5 & 13mm (diameter of the nail) Smallest Thru Diameter 5.4mm Wall Thickness 2.3mm (10 diameter) 3.0mm (11.5 diameter) 2.3mm (13 diameter) Guide Bolt Thread 5/16-24 Alternative Guide Bolts 11mm. With the tip of the ball nose guide wire at the level of the desired depth of nail insertion, slide or snap the nail depth gauge onto the ball nose guide wire until it contacts the bone, ensuring that the tip does not fall into the existing trochanteric entry canal, thus providing an inaccurate measurement. remove the guide wire from the nail. 6. This site uses cookies as described in our, TFN-ADVANCED™ Proximal Femoral Nailing System (TFNA). Refs: Windchill 0000131715, Windchill 0000122418. Read/Download File Report Abuse. Trochanteric fixation nail (TFN): This intramedullary device consists of a Cannulated nail, Cannulated hip screws 8 mm lag screw and 6.4 mm derotation screw, distal locking bolts of 4.9 millimeters. Removal of a broken intramedullary nail may be a real challenge. Alternative Technique: Entry Portal Acquisition Attach the T-Handle (7167-4076 or 7167-4576) to the Cannulated Awl (7167-4000) and insert the 3.2mm Trocar (7167-4074) into the back of the assembly. 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. 170mm nail distal locking hole. 2016;11(1):53. chapter1 Sterile, single-use instrument kit contains a 0.045” Guide-wire, 2.8mm Reamer, Reamer Guide and Implant Inserter May provide improved fatigue strength when compared with existing nails of similar size.2. Orient the handle laterally . Nail 170 is called: Gamma3 Nail 170 All nails* use the same Lag Screws, Set Screw, distal Locking Screws and End Caps (see Fig. Trochanteric Nail 170 & 180 Operative Technique Hip Fractures Hip Gamma3 Long Nail R1.5 and R2.0 Operative Technique The Gamma3 U-Blade Lag Screw may be used with either the Gamma3 Trochanteric Nail or the Long Length Gamma3 Nail to treat patients with highly osteoporotic bone or metastatic disease in the femoral head, short fem- Injury. Instruments. 2013 ; Standardised cement augmentation… Kammerlander et al. The FRN was designed to provide COMPREHENSIVE SURGICAL OPTIONS, to address ANATOMICAL FIT and to REDUCE PROCEDURAL COMPLEXITY. Parker MJ, Bowers TR, Pryor GA. Journal of orthopaedic surgery and research. The Cochrane database of systematic reviews. 2. Helical blade dimensions. ... Tibial Bone Transport Over an Intramedullary Nail Using Cable and Pulleys - Duration: 3:55. DePuy Synthes Trauma. Kammerlander C, Gebhard F, Meier C, et al. By clicking to continue, you will be taken to a web site governed by their own Legal and Privacy Policies. standard freehand technique. 235mm nail distal locking hole. TFN-ADVANCED® Proximal Femoral Nail System (TFNA) Value Analysis Brief. Therefore, the method of use rather than a design deficiency has likely led to this complaint. 97.5mm from end to center. Regardless of the preference of using a short nail or a long nail, a large percentage of the hip fractures encompass basilar neck, intertrochanteric or … May help preserve bone in the insertion area due to reduced critical width. Sliding hip screw versus the Targon PF nail in the treatment of trochanteric fractures of the hip. This information is provided per titanium trochanteric fixation nail system technique guide (b)(6). * All Rights Reserved, We use cookies on this site to enhance your user experience. The Synthes Titanium Trochanteric Fixation Nail (TFN) System permits an intramedullary approach for the fixation of frac - tures of the femur. Many methods have been described to allow for removal of the broken piece of the nail. * Titanium trochanteric fixation nail system, Trauma recon system, battery-driven power system designed for traumatology and arthroplasty. DSUSTRM06140109-5_TFNA_TG.pdf. Injury. Drill through the protection sleeve to the stop. © DePuy Synthes Companies 2021. 8. Page 50 Proximal locking Check proximal nail position (optional) Instruments 03.010.018 Aiming Arm for Expert Tibial Nail (use the yellow marked guide holes) 03.010.063 Protection Sleeve 12.0/8.0, length 188 mm 03.010.064 Drill Sleeve 8.0/3.2, for No. Does bone compaction… Goffin et al. Nonunion of long bones fixed with nails may result in implant failure. May improve efficiency and ease-of-use for surgeons and OR staff through design. helical blade length. 3. 2011; 42 (12): 1484-1490. Schmutz B, Amarathunga J, Kmiec S, Jr., Yarlagadda P, Schuetz M. Quantification of cephalomedullary nail fit in the femur using 3D computer modelling: a comparison between 1.0 and 1.5m bow designs. The TFN System consists of a series of cannulated nails, cannulated helical blades, cannulated femoral neck … If you plan to ream the canal of the femur, the guide wire should be embedded in the distal femur at the level of the distal epiphyseal scar using the guide wire gripper and a mallet (Figure 5). 7. Parker MJ, Handoll HH. Gamma and other cephalocondylic intramedullary nails versus extramedullary implants for extracapsular hip fractures in adults. Allows for optional decision to insert PMMA cement around the implant in the femoral head. SURGICAL TECHNIQUE TFN-ADVANCED Proximal Femoral Nailing System (TFNA) Surgical Technique DePuy Synthes Companies 11. TITANIUM TROCHANTERIC FIXATION NAIL SYSTEM Titanium Trochanteric Fixation Nail System Surgical Technique DePuy Synthes Companies ..... sleeve, … Plus targeter available for cases where added soft tissue clearance is required. Figure 4 Figure 5. The nail is cannulated for Guide-Wire-controlled insertion and features a 03.037.000. Kammerlander C, Doshi H, Gebhard F, Scola A, Meier C, Linhart W, Garcia-Alonso M, Nistal J, Blauth M. (2014) Long-Term results of the augmented PFNA: a prospective multicenter trial. 2. The TFN System consists of a series of cannulated nails, cannulated helical blades, cannulated end caps, and locking bolts and screws. Insertion Handle Assembly Blade Guide Sleeve Buttress/Compression Nut Assembly 6.0 mm/10.0 mm Stepped Drill Bit Assembly Insertion Assembly for 11.0 mm Helical Blade Titanium Trochanteric Fixation Nail System Instrument Assembly Blade Guide Sleeve, for Trochanteric Fixation … 2017. Scanalatura per guidare il cacciavite all'incavo della vite di collegamento e al meccanismo di bloccaggio 4 DePuy Synthes Companies TFN-ADVANCED Proximal Femoral Nailing System (TFNA) Surgical Technique AO PRINCIPLES 1 4 2 3 4_Priciples_03.pdf 1 05.07.12 12:08 4 DePuy Synthes Expert Lateral Femoral Nail Surgical Technique AO PRINCIPLES In 1958, the AO formulated four basic principles, … JBJS British Volume. 2012;94(3):391-397. Secure the nail to the handle with the cannulated connecting screw. Nail System Technique Manual, Medical Equipment Synthes The Titanium Femoral Nail System Technique Manual, Medical Equipment Synthes ComPact Air Drive II User Manual, Medical Equipment Synthes VEPTR Technical Manual, Medical Equipment Synthes Delta Xtend Manual, Medical Equipment Synthes Battery Power Line II Instructions For Use Manual, Medical Equipment Synthes Pelvic C-Clamp II Manual, Medical Equipment Synthes Anspach Instructions For Use Manual, Medical Equipment Synthes EXPEDIUM VERSE System Manual, Medical Equipment Synthes LCP Surgical Technique Manual, Medical Equipment Synthes DFN Surgical Technique, Medical Equipment Synthes Codman Neuro DirectLink Manual, Medical Equipment Synthes CODMAN NEURO CODMAN СERTAS Plus Manual, Medical Equipment Synthes DHS Surgical Technique, Page 5: Tfn -Titanium Trochanteric Fixation Nail System, Page 41: Surelock Distal Targeting Device - Long Nails, Page 42: Freehand Distal Locking - Long Nails, Page 61: Titanium Trochanteric Fixation Nails (Green) - Short, Page 63: Titanium Trochanteric Fixation Nails (Green) - Long. The TFN System consists of a series of cannulated nails, cannulated helical blades, cannulated femoral neck screws, cannulated end … Injury. 11mm diameter 75-130mm lengths (5mm increments) 4 vanes ensure bony interlock. Tighten connecting screw using the ball hex screwdriver. Preoperative planning consists of determining the CCD (center-collum-diaphysis) angle and the inner diameter of the femur from the AP of the normal side with the use of the implant templates. 5,6,7 Several … 5. 2010(9):1-240. 2 It is designed to reduce the risk of cut-out, 3,4 distal cortical impingement1 and nail breakage, 2 which are common post-operative complications. 134(3):343-9. Eight different categories of implant removal methods were described, with different … All Rights Reserved. Surgical Technique Guide. The operative technique for other cephalomedullary devices is similar, but for details see the manufacturer’s guides. Distal targeting options. 32.5mm from end to center. It is most often caused by onychomycosis, psoriasis, tumors of the nail apparatus, and poorly fitting shoes. All of the implants in the TFN System are made of titanium alloy. The TFN permits an intramedullary approach for fixation of proximal femur fractures. Lock 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 fit1 and increase implant strength.2 It is designed to reduce the risk of cut-out,3,4 distal cortical impingement1 and nail breakage,2 which are common post-operative complications.5,6,7 Several clinical studies have published reporting favourable outcomes in cut-out resistance.8-10*, LATERAL RELIEF CUTTM & Small Proximal Diameter. Technique tip: Thread a bending pin or LCP drill guide into one of the distal holes as a handle for percutaneous inser- Open insertion Open the area as necessary to expose the joint. A prospective multicenter trial. Access Free Deformed Fingernail Manual Guide plate. 9. 2011; Long-term results… Kammerlander et al. The biomechanical principal of the Titanium Elastic Nail is based on the symmetrical bracing action of two elastic nails inserted into the metaphysis, each of which bears against the inner bone at three points. Page 4 The Synthes Titanium Trochanteric Fixation Nail (TFN) System permits an intramedullary approach for the fixation of frac- tures of the femur. 17mm cannulated drill bit. Carefully push the plate under the soft tissue for placement on the Center the plate on the medial malleolus. Augmentation Value Analysis Brief Designed to Advance the Treatment of Hip Fractures Key Literature. Preoperatively check the degree of the anterior bow of the femur on an x-ray of the uninjured extremity. No post-operative hardware removal is necessary. DePuy Synthes Test Data. Gamma3 Nail 170 The anatomical shape of the nail is universal for all indications involving the treatment of trochanteric fractures. Surgical Technique Femur Interlocking Nail Matrix Meditec - Duration: 3:41. Figure 6: The anteversion guide wire has been placed and the rotation of the nail adjusted to match it. Reduced proximal nail diameter to facilitate a minimally invasive technique. Technique Guide(s) 2.0 mm Quick Insertion Screws: AA: Wed Dec 02 14:28:47 UTC 2020 : Quick Insertion Screw - Surgical Technique: 90° Screwdriver: AF: Fri Aug 23 03:50:46 UTC 2019: 90° Screwdriver: ACIS: AE: Thu Feb 04 17:18:45 UTC 2021: ACIS – Anterior Cervical Interbody Spacer. This produces the following four properties: flexural stability, axial stability, translational stability and rotational stability. 10. Insert connecting screw. 2005;36)7:851-857. In this paper, we are reviewing the different techniques to extract a broken nail, classifying them into different subsets, and describing a new technique that we used to remove a broken tibial nail with narrow canal. 75-130mm (5mm increments) Open canal with. *Benchtop testing may not be indicative of clinical performance. This site is for visitors from Europe, Middle East and Africa. For product details such as indications, contraindications, warnings and precautions please consult the IFU and Surgical Technique. Introduce the awl into the proximal femur at the designated entry point until it is below the level of the lesser trochanter. Standardized cement augmentation of the PFNA using a perforated blade: A new technique and preliminary clinical results. TFNA – Proximal Femoral Nailing System The Distal Aiming Device (DAD) for Simplified Universal Nails (S.U.N.) Radiolucent carbon fiber targeter compatible with short and long nails with 120°, 125°, and 130° neck angles. * 17mm cannulated drill bit over 3.2mm guide wire. Insert guide wire. The TENFUSE® NAIL is a sterile allograft designed for fixation and augmentation of small bone osteotomies of the foot. Additional narrative: the visual inspection of the returned device performed as part of the product investigation reported the implants are components of the titanium trochanteric fixation nail (tfn) system. Kammerlander C, Hem E, Klopfer T, Gebhard F, Sermon A, Dietrich M, Bach O, Weil Y, Babst R, Blauth M. Cement Augmentation of the Proximal Femoral Nail Antirotation (PFNA) - A Multicenter Randomized Controlled Trial. helical blade diameter. fractures to use TFN for. Care should be taken not to drive the wire through the knee joint. 3). The third party trademarks used herein are trademarks of their respective owners, All contents © Medical Devices Business Services, Inc. 2021. Deformed Fingernail Manual Guide Pincer nail deformity is a transverse over-curvature of the nail Page 2/10. This webpage content is intended for Health Care Professionals (HCP’s) only. Synthes Femoral Nails Antergrade Insertion: Piriformis Fossa: Synthes Femoral Nail Synthes Retrograde/Antegrade Femoral Nail (RAFN) Greater Trochanteric: Synthes Trochanteric Femoral Nail (TFN) Lateral Entry: Synthes Lateral Entry Nail Synthes Lateral Entry Nail with Recon Retrograde Insertion: Synthes Retrograde/Antegrade Femoral Nail (RAFN) Synthes Distal Femoral Nail (DFN) The operative technique for other cephalomedullary devices is similar, but for details see the manufacturer's guides. Arch Orthop Trauma Surg. unreamed nail insertion over the guide wire Antegrade Femoral Nail (AFN) The washers for the 6.5mm hip screw prevent the penetration of the screw through the lateral cortex in oste-oporotic bone Cannulated end caps facilitate inser-tion using a guide wire … Ref: Windchill 0000268245. (Data on file) Fatigue strength testing of cephalomedullary nails. 1. The technique guide recommends that the user ¿confirm that the nail is tightly connected to the insertion handle, especially after hammering¿ and there is an etching on the insertion handle that states ¿do not strike this instrument¿ (j3900-i). TFN – Titanium Trochanteric Fixation Nail System. This site is published by the DePuy Synthes Companies, which are solely responsible for its content. Preoperative planning. 2014. A simple pertrochanteric fracture without a distal extension or without another fracture distally can be treated successfully with a short IM nail. Brammar TJ, Kendrew J, Khan RJ, Parker MJ. 4. tighten screw using the Ball Hex Screwdriver. Biomechanical Evaluation of Non-Augmented & Augmented TFNA Head Elements in Surrogate Femoral Heads. https://doi.org/10.1016/j.injury.2018.04.022. Hofmann L. AO Foundation: Final Report for biomechanics evaluation of a non-augmented nail head element in surrogate femoral heads [Synthes GmbH:USTRA09022 Trochanteric Fixation Nail-Advanced (TFNA)] 2015. Reverse obliquity and transverse fractures of the trochanteric region of the femur; a review of 101 cases. The Titanium Trochanteric Fixation Nail (TFN) System permits an intramedullary approach for the fixation of fractures of the femur. The proximal diameter of the nail is 15 mm and length is 18cm. Set screw prevents rotations of the lag screw and asymmetric depth profile only allows. You are about to leave jnjmedicaldevices.com.
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