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Intertrochanteric hip fracture fixation with the INTERTAN nail - Tips and tricks with Dr Michael Morwood
Based on data from more than two-dozen published studies, the TRIGEN™ INTERTAN™ Intertrochanteric Antegrade Nail allows patients to experience: risk of implant failure and... Open the catalog to page 2
- Surgical Technique
- Indications
- Implant specifications
- Insertion
- Integrated Interlocking Screw insertion: Locking the Cannulated Set Screw (optional)
- Nail Cap insertion: Optional
- Closure
- Disengage the Cannulated Set Screw
- Instruments
Nota Bene The technique description herein is made available to the healthcare professional to illustrate the author’s suggested treatment for the uncomplicated procedure. In the final analysis, the preferred treatment is that which addresses the needs of the specific patient.
The TRIGENTM INTERTANTM nail is indicated for fractures of the femur including simple shaft fractures, comminuted shaft fractures, spiral shaft fractures, long oblique shaft fractures and segmental shaft fractures; subtrochanteric fractures; intertrochanteric fractures; ipsilateral femoral shaft/neck fractures; intracapsular fractures; nonunions an...
TRIGENTM INTERTANTM nail (long) TRIGEN INTERTAN nail (short)
Orient the Drill Guide Handle in the lateral position and manually advance the nail into the proximal femur. Note Do not definitively seat the nail until femoral neck anteversion has been determined. Further insertion of the nail may be required to adequately seat the implant. For long nails, begin insertion with the Drill Guide Handle in the AP...
Attach the Set Screwdriver to the T-Handle and insert through the top of the Drill Guide Handle and Guide Bolt until it engages with the hex of the Cannulated Set Screw. Turn clockwise to engage the set screw with the Integrated Interlocking Lag Screw. The Integrated Interlocking Screws are incapable of excessive medial migration and/ or rotation ...
Remove the Drill Guide Handle using the Guide Bolt Wrench and T-Handle. Attach the INTERTANTM Nail Cap to the Medium Hexdriver/ T-Handle assembly and insert into the top of the nail until tight. Note If cross-threading occurs, rotate the nail cap counterclockwise until its threads line up with those of the nail. Proceed with insertion until tight...
Obtain Final AP and lateral radiographic images to confirm implant position and fracture reduction. Wound closure follows standard technique.
Remove the nail cap if implanted using the Medium Hexdriver and T-Handle. Attach the Set Screwdriver to the T-Handle and insert into the top of the nail until it engages with the hex of the Cannulated Set Screw. Turn counterclockwise to fully disengage the set screw from the lag screw.
* Instrument Set pictured with additional instruments
The TRIGEN™ INTERTAN™ Nail Preoperative Template Set (7167-4200) may be used to assist with preoperative implant selection. Nail size, screw length and femoral neck angle may be determined. Note As template magnification levels are set at 117%, all measurements are estimates of true size. All measurements must be verified intraoperatively.
TRIGEN INTERTAN Intertrochanteric Antegrade Nail. Enhanced outcomes from enhanced stability *1. Satisfying outcomes for you and your patients. A trapezoidal shape provides a press-fit in the metaphyseal region to position more material on the lateral side of the nail where tensile/stretching forces tend to be greatest. 2.
2 TRIGEN INTERTAN Specification Summary TRIGEN INTERTAN Specification Summary 3 TRIGEN INTERTAN Nail Specifications Note: These views are not to scale and should be used as a pictorial representation only. 10, 11.5, 13mm 28.3mm 18, 20cm 15.25mm 16.25mm 4° 5mm 40mm/18cm 60mm/20cm 7mm 7.8mm Minor diameter tapers from 11-5.6mm
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What is a Trigen® intertantm nail template set?
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ES Trochanteric Nail Product Overview. The ES trochanteric nail is intended to treat stable and unstable proximal fractures of the femur including pertrochanteric, intertrochanteric, and high subtrochanteric fractures and combinations of these fractures.
