Zimmer natural nail system tibial nail surgical technique suprapatella table of contents product overview 2 implant overview 2 indications 2 contraindications 2 surgical technique 3 preoperative planning 3 patient positioning 3 reduction 3 starting point location 3 reaming 6 nail assembly and insertion 6 proximal screw placement 9. The t2 distal tibial nail, available in 10mm diameter only, may be used for very distal fractures. Uniflex femoral nail surgical technique zimmer biomet. Zimmer natural nail system cephalomedullary nail surgical. Zimmer,warsaw,in that optimizes proximal tibial fracture reduction and. Insert a preplanned custom intramedullary tibial nail into the tibia after preparing reaming the canal. Prepare the nail path by reaming the medullary canal of the tibia. Zimmer natural nail system tibial nail surgical suprapatella technique.
Wchcoated fixation kwires designed for secure fixation in tibial plateau to prevent anteriorization and back out of sleeves during reaming. Ef 06 abstract truncated antibiotic coated tibia nail. The trigen metanail tibial nail system is designed specifically to repair fractures of the proximal and distal thirds of the tibia, including the shaft, stable and unstable fractures, nonunions, malunions, and for the prophylactic nailing of impending pathological fractures. Remove the awl and insert the tibial reamer sleeve 174230. A wide variety of tibial nail options are available to you, there are 370 suppliers who sells tibial nail on, mainly located in asia. Intramedullary nailing of tibial shaft fractures distal to.
Distal tibial intramedullary nailing using an extraarticular. Phoenix tibial nail system featuring corelock technology surgical technique. The cable should exit the skin just distal to the docking site. Indications for the tibial nails include the following.
Titanium cannulated tibial nail expert nailing system surgical technique depuy synthes trauma 5 indications 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. A minimum of 4 cm of anterior tibial cortex was felt to be necessary to allow placement of a tibial nail. Zimmer biomet, keeping the trocar on the end of the plastic tubing. The comprehensive system comprises intuitive instrumentation and a large choice of anatomical implants. Csti porous coating provides potential for optimal ingrowth fixation.
The nail implants are available in a variety of lengths and. Pass the trocar through the skin, in the midsagittal plane. Nail assembly and insertion the color code for the tibial nail is yellow. Phoenix suprapatellar approach surgical technique addendum. Trigen metanail tibial nail system surgical technique. The nails have been designed for specific applications to help. Simulation of tibial intramedullary nail fatigue test using. Tous les catalogues et fiches techniques pdf zimmer. The t2 tibial nailing system is the realization of superior biomechanical intramedullary stabilization using small caliber, strong cannulated. As with the standard nail, an oblong hole is located in the proximal third of. Review of the device history records did not find any deviations or anomalies. Length alignment rotation mobile joint mobile joint wb extremity when to nail gold standard for tibial shaft fractures possible in proximal and distal tibial fractures with appropriate technique. Clementz 5 described a fluoroscopic technique for measuring tibial torsion, which is a useful intraoperative technique to evaluate rotation during intramedullary tibial nailing.
Ti6al4v alloy nails, the targeting guide and the connecting. Zimmer natural nail system tibial nail surgical suprapatella. We help you diagnose your tibial shaft case and provide detailed descriptions of how to manage this and hundreds of other pathologies. Deborah michael wendland, pt, dpt, phd, cped mercer university atlanta, ga abstract background. A tibial intramedullary im nail is inserted into the tibial canal to stabilize fractures. Corrective tibial osteotomy in young adults using an. Intramedullary nailing of proximal quarter tibial fractures. Direct url citations appear in the printed text and are provided in the html and pdf versions of this article on the journals web site. The indications for intramedullary nailing have expanded to include most tibial shaft fractures.
Excluded were proximal tibial articular fractures that. Phoenix tibial nail system the phoenix tibial nail system is indicated for alignment, stabilization, and fixation of fractures caused by trauma or disease, and the fixation of long bones that have been surgically prepared osteotomy for correction of deformity and for arthrodesis. They can be used to treat femoral and tibial fractures in children and adolescents, and humeral, radial, and ulnar fractures in both pediatric and. However, extension of the fracture proximally at the posterior cortex was not felt to be a contraindication to tibial. The nail is custom in that it contains an extra hole for insertion of an interlocking bolt to capture the transported. 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. For distal tibia fractures, it is recommended that the surgeon use the largest nail diameter that will fit in the medullary canal, without excessive thinning of the cortex. The tibial nail is designed to help treat various fractures of the tibia. When treating distal tibia fractures with a tibial nail, stresses are increased on the nails distal portion.
Tibial nails versatile hole options with the zimmer stabilize technology to treat a wide range of injuries, including very proximal and very distal fractures. The appropriate diameter implant will provide translational fill within the isthmus of the intramedullary canal. Ao percutaneous iliosacral screw insertion, supine upper sacral segment duration. If the reamer is not advancing, remove it and clear away the bone debris. Simulation of tibial intramedullary nail fatigue test. The top countries of suppliers are india, china, and india, from which the percentage of tibial nail supply is 17%, 72%, and 17% respectively. Zimmer motionloc screw for the ncb polyaxial locking plate system surgical technique.
Use of a cablepulley system over an intramedullary nail for posttraumatic bone loss mitigates many of the disadvantages of classic ilizarov bone transport with external fixation alone. The zimmer natural nail system is a next generation system of intramedullary nails that is designed to help restore the shape of the fractured long bone to its natural, preinjured state. Phoenix tibial nail system featuring corelocktm technology. From lowenergy contact in sports to auto and factory accidents, its a fracture touching every demographic. For distal tibia fractures, it is recommended that the surgeon use the largest nail diameter that will fit in the medullary canal, without excessive thinning of. Tibial bone transport overan intramedullary nail using cable andpulleys. Tibial bone transport over an intramedullary nail using cabl. 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. The t2 alpha tibia nailing system offers a combination of innovation, simplicity, and efficiency that is designed to suit your various needs. Zimmer natural nail system zimmer pdf catalogs technical. Surgical technique instruments and implants approved by the ao foundation. Zimmer, warsaw, indiana using a patellar tendonsplitting transtendinous approach.
Titanium cannulated tibial nail expert nailing system surgical technique depuy synthes trauma 5 indications 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. Final determination of nail size must be made intraoperatively. Fractures of the hip and its fixation everything you need to know dr. All pdf files and may take some time to load be patient. Omar al bardan only the paranoid survive 9,674 views. Nancy nails are manufactured from, a titanium alloy with proprietary surface treatment which provides increased fatigue resistance. Nail length can be approximated visually by holding the nail next to the injured leg. Ream to a width 12 mm greater than the proposed nail. Tibial bone transport over an intramedullary nail using. Herbert mini bone screw freehand insertion surgical technique. The 108 patients underwent reamed im nailing mdn tibial nail. Mar 29, 2015 fractures of the hip and its fixation everything you need to know dr. T2 tibia spi offers two size options of drill sleeve available to accommodate nail diameters 8mm. Phoenix tibial nail system featuring corelock technology.
Tibial shaft fractures distal to total knee arthroplasty are rare, but they are likely to become more common with the increasing number of arthroplasty procedures being performed. Intramedullary nail for treating proximal, distal, as well as midshaft tibial fractures. The zimmer natural nail system is a next generation of intramedullary nails. Nail design has improved since their first introduction, but distal locking remains a difficult. Surgical technique continued unreamed technique radiographic templating is used to determine nail size. We prospectively studied 24 knees in 16 young patients. Mar 02, 2017 ao percutaneous iliosacral screw insertion, supine upper sacral segment duration. Russell, md, mba university of mississippi medical center treatment goals shaft fracture. If the guide wire becomes lodged within the reamer, use the guide wire pusher to push the guide wire back into the im canal. Stabilization is achieved by the use of screws which are driven through the bone at the nail ends and pass through transverse. The tibial nail system from the versanail platform offers an optimal implant design to treat a range of tibia fractures from simple to complex, with versatile locking.
Influence of nail prominence and insertion point on. Zimmer ural l yst ial suprapatella 1 zimmer natural nail system tibial nail surgical technique suprapatella table of contents product overview 2 implant overview 2 indications 2 contraindications 2 surgical technique 3 preoperative planning 3 patient positioning 3 reduction 3 starting point location 3 reaming 6 nail assembly and insertion 6. Consult zimmers entire phoenix tibial nail system featuring corelock technology surgical technique catalogue on medicalexpo. Nail does not feature an oblong hole for optional controlled dynamization and appositioncompression. The zimmer natural nail system is a system of intramedullary nails, screws, instruments and other associated implants that are designed to provide. Choose a nail of appropriate diameter, depending upon the patients age and medullary. The trigen meta nail tibial nail system is designed specifically to repair fractures of the proximal and distal thirds of the tibia, including the shaft, stable and unstable fractures, nonunions, malunions, and for the prophylactic nailing of impending pathological fractures. Screws are placed through the nail to secure the implant in place and maintain length and. Eliminates casting allows earlier weight bearing minimal skin incision easy implantation minimal growth disturbance reduced hospital care surgical technique for pediatric femur fractures the nancy nail 2. Rehabilitation following bilateral tibial intramedullary.
More distal locking pattern with most distal hole remaining 5mm from tip. Intramedullary nailing system has become increasingly popular as a treatment option for long bone fractures, it is suitable for all fractures extending from 78 cm distal to the tibial plateau, to within 5. Elastic nail insertion sleeves designed to serve as working channel to protect joint space. Zimmer natural nail system tibial nail surgical technique. The zimmer natural nail system is intended for temporary fracture fixation and stabilization of the bone. The purpose of this study was to document results of a less invasive technique of open wedge proximal tibial osteotomy pto for the varus knee in young adults using an intramedullary tibial nail. Rehabilitation following bilateral tibial intramedullary nail placement in an elite athlete sharon young abney, spt. Zimmer natural nail system cephalomedullary nail surgical technique standard. Certain intraarticular fractures of tibial plateau.