Factors of injury severity, course of surgery and hospitalization, and incidence. Depuy synthes suprapatellar instrumentation for titanium cannulated tibial. The zimmer natural nail system is a system of intramedullary nails, screws, instruments and other associated implants that are designed to provide stable internal fixation for fractured long bones. Pdf numerous modifications in nail and screw design have led to the development of the expert tibial.
Intramedullary fixation is the treatment of choice for diaphyseal fractures of the. Solid humeral nail uhn and proximal humeral nail phn. Mar 31, 2016 distal locking screws for intramedullary nailing of tibial fractures. Utnctn solidcannulated tibial nail surgical technique depuy synthes 1 oconoscnrni aa ttscindi ati indi the solid tibial nail utn and cannulated tibial nail ctn are used for the. Ebraheims educational animated video describes intramedullary nailing of proximal tibial fractures.
Searchable database of fda 510k applications and descisions. The purpose of this study was to investigate the clinical efficacy of reamed versus unreamed intramedullary nailing for open tibial fractures otf. Unreamed solid locked nailing in the treatment of compound. Class 2 device recall synthes tibial nail wrap holds 11 nails. Titanium cannulated tibial nail expert nailing system. Thirteen tibial fractures were stabilized with an unreamed.
The exhibit illustrates left hip surgery to treat an intertrochanteric fracture. Im nailing is the procedure of choice for fractures of. Distally, the expert tibial nail can be locked with two ml locking screws see. Up to thirty percent of all unreamed nail locking screws can break after initial weight bearing is allowed at 810 weeks if union has not occurred. Comparison of outcome in reamed vs unreamed nailing in the. Distal locking screws for intramedullary nailing of tibial fractures. Oct 15, 20 the aim of the prospective randomized study was to compare the results of the treatment of tibia shaft fractures tsf by reamed or unreamed intramedullar nail. Synthes tibial nail wrap holds 11 nails and synthes intramedullary nail wrap holds 10 nails. The titanium cannulated tibial nail system has not been evaluated for. Pdf unreamed intramedullary locking nailing for open. Ut nctn solidcannulated tibial nail indication scontraindications the solid tibial nail utn and cannulated tibial nail ctn are used for the fixation of tibial shaft fractures. Vecsei, v unreamed nailing of tibial fractures with the solid. Tibia nail utn, synthes bv, zeist, the netherlands o. Dec 01, 2008 we compared reamed and unreamed intramedullary nailing with regard to the rates of reoperations and complications in patients with tibial shaft fractures.
However, the choice between two alternative intramedullary nailing approaches, reamed or unreamed, is an ongoing controversy. The aoasif unreamed femoral nail ufn the basics synthes bulletin no. We export and supply high quality unreamed tibial nails at best price. Pdf extending the indications of intramedullary nailing with the. Distal locking screws for intramedullary nailing of tibial. Longterm stability of anglestable versus conventional locked.
Fda 510k applications for medical device product code hsb rod, fixation, intramedullary and accessories. Metaanalysis of reamed versus unreamed intramedullary. Oct 20, 2009 among them, intramedullary nail fixation has been shown to be an effective method for treating both open and closed tibial fractures 68. Pdf initial experiences with the unreamed tibial nail. View and download powerpoint presentations on tibial nailing ppt. The nails have been designed for specific applications to help restore the shape of the fractured bone to its natural, preinjured state. There were 14 type a, 26 type b and four type c fractures ao classification, muller. Synthes urtn unreamed tibial nail insertion and titanium. Fatigue strength of common tibial intramedullary nail distal locking. Up to thirty percent of all unreamed nail locking screws can break after. The nail insertion technique was found to be clear and quickly acquired by the surgeons unfamiliar with it.
Surgical management of compound fracture tibia using an. Biomechanical analysis of nonreamed tibial intramedullary nailing after simulated transverse fracture and fibulectomy. Reamed and unreamed intramedullary nailing are often used for treatment of tibial injury. The primary problem this presents is hardware removal during revision surgery. In contrast intramedullary nailing of distal tibia fractures is accompanied by.
It is cost effective with short hospital stay and facilitates earlier return to work. Ufncfn unreamed cannulated femoral nail indications for ufncfn locking the nail must be inserted carefully so as to limit the distraction on the fractured side healing promotion. Extending the indications of intramedullary nailing with the. Unreamed tibial nails manufacturing company from india. As a first result the proximal tibial nail ptn, synthes was designed and clinical investigation was started in 1999.
There were 103 patients with 104 tsf enrolled in the study within the period from december 2005 to june 2010. The mean followup time was months range 624 months. Pdf reamed versus unreamed nail in the treatment of tibia. Ao unreamed tibial nail was inserted after reduction under image intensifier control. During a oneyear period starting january 1991, 17 tibial shaft fractures have been treated with the new ao unreamed tibial nail in a prospective study.
Reference chart synthes usa 2 wrights lane east west chester, pa 19380. The nail was locked only proximaliy so as to maintain. Extending the indications of intramedullary nailing with the expert tibial nail. Biomechanical analysis of nonreamed tibial intramedullary.
The distal segment can be stabilized by using the two ml locking options of the tibial nailex. The expert tibial nail with protect coating releases high concentrations of antibiotics into the implants surroundings to protect your patients from bacterial colonization of the implant. Expert tibia nail depuy synthes pdf catalogs technical. Consult depuy synthess entire expert tibia nail catalogue on medicalexpo. Comparison of outcome in reamed vs unreamed nailing in the treatment of tibial diaphyseal fracture 536 p j m h s vol. Position the carm for an ap view of the distal tibia. Cannulated nails 8 mm to mm diameters for reamed or unreamed techniques, enabling nail insertion over guide wire. Tibial humeral humeral nail long, short straight and bent options sureshot distal targeting system nails that utilize this technology tan metanail tibial trochanteric antegrade nail standard and recon locking options reducing radiation. The expert tibial nail etn is standard in treating tibial fractures with a wide range of indications. Unreamed tibial nail left tibia a live transmission from the ao course 1995 10 15 dec davos ortho tube. Apr 16, 2009 premature failure of either the nail andor locking screws with unstable fracture patterns may lead to angulation, shortening, malunion, and im nail migration. Solid and cannulated nails technique guide synthes synthes on.
Comparison of outcome in reamed versus unreamed nailing in the treatment of tibial diaphysial fracture muhammad nasir ali,1 abdul munaf saud,2 zulfiqar ali,1 muhammad rafiq sabir1 background. Pdf reamed versus unreamed nail in the treatment of. 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. Primary unreamed intramedullary nailing for open fractures of the tibia. Randomized trial of reamed and unreamed intramedullary. This paper reports early experiences with the immediate use of the ao unreamed tibial nail, the immediate complications and the 14 months followup of patients with gustilo grades i, ii and iiia open tibial fractures. Unreamed solid locked nailing in the treatment of compound diaphyseal fractures of tibia. Results of angularstable locked intramedullary nails in the. Pdf unreamed interlocking nailing in open fractures of tibia. Pdf intramedullary nailing without interlocking screws for femoral.
Aug 23, 2014 open fractures of the tibial diaphysis are usually caused by highenergy trauma and associated with severe bone and soft tissue injury. Read the unreamed tibial nail in the treatment of distal metaphyseal fractures, injury on deepdyve, the largest online rental service for scholarly research with thousands of academic publications available at your fingertips. All surgical techniques are available as pdf files at. Expert nailing system titanium cannulated tibial nail. Titanium cannulated tibial nails expert nailing system surgical technique depuy synthes companies 11 opening the tibia 3 confirm nail length and diameter instrument 03. We prospectively studied 44 patients treated with the ao unreamed tibial nail utn at two orthopaedic trauma units. Using a reamer, guidewire, and mallet, a synthes nail is impacted into the femoral canal to stabilize the femur and hip. If the nail does not pass easily, it may be adequate to enlarge the medullary canal with the hand reamer 351. To assess the clinical outcome of unreamed intramedullary interlocking nailing in open fractures of tibia, and to evaluate the incidence of. Read the unreamed tibial nail in the treatment of distal metaphyseal fractures, injury on deepdyve, the largest online rental service for scholarly research with thousands of academic publications available at. Intramedullary nailing in distal tibial fracture is controversial because of a lack of stability. For general guidelines, function control and dismantling of multipart instruments. Tibial diaphysial fractures are among the notorious fractures as far as management is concerned.
The unique characteristics of the ao unreamed tibial nail synthes ag, switzerland have led us to treat distal tibial fractures with no massive joint involvement by means of a combination of unreamed nailing of the metaphyseal portion and percutaneous internal fixation of the articular surface. Introduction expert tibial nail 2 ao principles of internal fixation 4 surgical. Because of its anatomical crosssection, the utn is more. Pdf unreamed intramedullary locking nailing for open tibial. Pdf primary unreamed intramedullary nailing for open. The unreamed tibial nail in the treatment of distal. Fatigue strength of common tibial intramedullary nail distal. Get your kindle here, or download a free kindle reading app. Ufn unreamed femoral nail cfn cannulated femoral nail synthes. We conducted a multicenter, blinded randomized trial of 19 adults in whom a tibial shaft fracture was treated with either reamed or unreamed intramedullary nailing. Insert the nail until the nail tip protrudes only slightly into the humeral head. Synthes titanium cannulated tibial nail expert system the tibial nailex is intended to stabilize fractures of the proximal and distal tibia and the tibial shaft, open and closed tibial shaft fractures, certain pre and postisthmic fractures, and tibial malunions and nonunions. Learn about the expert tibial nail with protect coating, a tool offering a variety of locking options that enable tailoring of fixation to the fracture pattern. The range of implants available for intramedullary fixation of.
This is a prospective study based on 30 cases of compound tibial diaphyseal fractures fulfilling our inclusion criteria and stabilised with primary unreamed solid ao tibial locked nailing with a follow up ranging. The expert tibial nail synthes was equipped with either three. Ufn unreamed femoral nail cfn cannulated femoral nail. Expert tibial nail surgical technique depuy synthes 11 3 confirm nail length and diameter instrument 03. Intramedullary nailing is the standard operative treatment of diaphyseal tibia fractures9 it is also used effectively in treatment of nonunions of the tibial shaft. Over all morbidity is reduced and better patient satisfaction noted. Surgery of left hip with impaction of synthes nail print. Find powerpoint presentations and slides using the power of, find free presentations research about tibial nailing ppt. Urtn insertion titanium locking total locking bolts part number description quantity drill 145mm holding sleeve screwdriver bolts 3flute drill 145mm screw forceps combination wrench slotted hammer 0x400mm centering pins cannulated cutter protective sleeve 011 protective sleeve protective sleeve trocar insertion handle oblique insertion handle insertion locking connecting screw medullary. The titanium cannulated tibial nail ex with proximal bend offers a variety of. Unreamed intramedullary locking nailing for open tibial fractures.
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