The expert tibial nail from depuy synthes is a titanium alloy nail which has advanced proximal and distal locking options that assist in the control and stabilisation. 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. Extending the indications of intramedullary nailing with the expert. Expert tibial nails for treating distal tibial fractures.
Synthes i opis for more information about alternative expert nail instruments, please consult pages 7578. In early 2000, synthes planned to conduct a clinical trial of srs without. Suprapatellar instrumentation for expert tibial nail surgical technique depuy synthes 19 notes. Pdf extending the indications of intramedullary nailing. The synthes 8mm ti cannulated tibial nail offers a variety of proximal and distal locking options, giving the surgeon the ability to tailor fixation to the fracture pattern. All surgical techniques are available as pdf files at ifu. 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 distal tibia nail is not cleared for primary ankle arthrodesis in the u. The synthes titanium elastic nail ten for elastic stable intramedullary nailing esin is. Numerical comparison of two different tibial nails.
Expert nailing system titanium cannulated tibial nail. Expert tibia nail depuy synthes pdf catalogs technical. The titanium elastic nail system technique guide original instruments and implants of the association. Suprapatellar instrumentation for expert tibial nail. Expert tibial nail surgical technique depuy synthes 11 3 confirm nail length and diameter instrument 03. Depuy synthes addresses clinical demand to reduce the. The innovative nails functioning is based essentially on sliding of conical. The first group was treated with an expert tibia nail and 4 distal screws, and the second group with a solid conventional distal locking nail unreamed tibial nail. 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.
Automated fit quantification of tibial nail designs during. Twenty four synthes expert tibial im nails were used for six specimens of each screw configuration. Despite this evolution in nail design, currently there are no evidencebased guidelines regarding the optimal number and configuration of distal screws that should be used. Depuy synthes addresses clinical demand to reduce the incidence of implant related infections with expert tibial nail protect the only intramedullary nail with a. Expert tibial nail surgical technique depuy synthes 1.
Instructions for use synthes expert tn protect with. The titanium cannulated tibial nail tg limelight networks. This site is published by the depuy synthes companies, which are solely responsible for its content. Humeral nails femoral nails tibial nails ankle synthes nail removal hammer instruments extraction screws nail end guide end located in conical extractors can also be used with ram guide, ram, and flexible grip from the medullary nail removal eval set. Phoenix tibial nail system featuring corelocktm technology. Titaniumtibial nail insertionlocking part number description quantity tibial nail accessory implant tray holding sleeve screwdriver flute drill 3flute drill screw forceps 11mm combination wrench slotted hammer guide wire cannulated 11mm thandle socket wrench driving head protective sleeve drill sleeve trocar inserterextractor insertion handle with tibial nail aiming insertion bolt solid. All technique guides are available as pdf files at. This site is for visitors from europe, middle east and africa. 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. Position the carm for an ap view of the distal tibia. The titanium cannulated tibial nail ex is available in a universal design for the left or right tibia, with a.
Distal locking screws for intramedullary nailing of tibial. The titanium cannulated tibial nail ex offers a variety of proximal and distal locking options, giving the surgeon the ability to tailor fixation to the fracture pattern. Additional information expert tibial nails with antibiotic coating expert tn. Indications include, but are not limited to, open and closed tibial shaft fractures. Their articular cartilage layers, were simulated by 3d membranes of opportune stiffness connecting the different segments. Instructions for use intramedullary nailing implants. The expert tibial nail etn is standard in treating tibial fractures with a wide range of indications. Trigen metanail tibial nail radiographic template cat.
Synthes gmbh, switzerland, an implant offering a wide range of proximal and distal locking. For example, the synthes expert tibial nail system synthes usa, west chester, pa offers four different distal interlocking options. The titanium cannulated tibial nail ex offers a variety of proximal and. Tibial intramedullary nailing suprapatella approach. The models were divided into 4 groups with different distal locking configurations ranging from 2 to 4 screws. Providing locking options for all types of fractures, plus the. A 7mm gap osteotomy was performed 72 mm from the tibial plafond to simulate a 42c3 unstable distal tibial fracture. The healing stages of an intramedullary implanted tibia. What is the recovery time for tibial fracture post. The expert tibial nail etn, synthes was intro duced worldwide in 2005 as a universal intramedullary implant for tibial fractures. Case 5 pediatric tibia preoperative postoperative follow up. This intramedullary nail has multiple locking options in different planes at both ends 7, 8.
The coating is abrasion resistant and will withstand most of the forces occurring during nail insertion. The t2 tibial nailing system offers the competitive advantages of. This publication is not intended for distribution in the usa. Parts i and ii, tibial im nails were locked with 5. Ensure that you are familiar with the appropriate surgical technique. Depuy synthes launches expert tibial nail protect with.
In 1958, the ao formulated four basic principles, which have become the guidelines for internal fixation in general,1. Extending the indications of intramedullary nailing with. On average, the misfit during the insertion in terms of the four fitting parameters was smaller for the expert tibial nail proximal bend 476. Pdf biomechanical comparison of distal locking screws for distal.
Please read these instructions for use, the synthes brochure important information and the corresponding surgical techniques carefully before use. If reaming to a larger diameter, assemble the twohole wire guide into the inner protection sleeve. Pdf distal locking screws for intramedullary nailing of. Depuy synthes suprapatellar instrumentation for titanium cannulated tibial nails surgical.
Thirtysix expert tibial nails synthes, oberdorf, switzerland were introduced in composite bone models. The use of a cannulated expert tibial nail with a large diameter offering more stability. The synthes 9mm tibial nail ex 345mm offers a variety of proximal and distal locking options, giving the surgeon the ability to tailor fixation to the fracture pattern. Two patients with charcot foot underwent tibiocalcaneal arthrodesis with retrograde intramedullary technique by expert tibial nail etn. Introduction expert tibial nail 2 ao principles of internal fixation 4 surgical technique preoperative planning 8 product information implant specifications 60 c. Combinations of these fractures for these indications the expert tibial nail should be used in combination with other implants not shown in the illustra note. 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. Difficult tibial nail removal using the extended trochanteric. Synthes titanium cannulated tibial nail expert system. In this case report, we discuss the causes of this complication and possible ways to prevent this. Additional information expert tibial nails with antibiotic coating expert tn protect have the same. Tous les catalogues et fiches techniques pdf depuy synthes. Reference chart synthes usa 2 wrights lane east west chester.
This patient has som e synthes locking screws with hexalobular internal drive according. The distal segment can be stabilized by using the two ml locking options of the tibial nailex. A load of 700 n has been applied at the top of pelvis and a part the feet, at the tip, was rigidly fixed. A precise nail starting point and trajectory as well as an accurate fracture reduction are critical in preventing malreduction during nail insertion. Utnctn solidcannulated tibial nail please read these instructions for use, the synthes important information and. Screws are placed through the nail to secure the implant in place and maintain length and alignment while healing occurs. Securely lock the most proximal oblique locking screw to. The t2 tibial nailing system is the realization of superior biomechanical intramedullary stabilization using small caliber, strong cannulated. The isthmus of the tibial canal is lateral to the midline of the plateau, and the starting point should correspond with this.
The nail has multiple screw holes in the proximal body to allow surgeons to. Twentyfour synthes expert tibial im nails were used for six specimens of each screw configuration. Expert tibial nail protect depuy synthes pdf catalogs. The synthes titanium elastic nail ten for elastic stable intramedullary nailing esin is intended for fixation of diaphyseal fractures of long bones where the medullary canal is narrow. The tibial nail is designed to help treat various fractures of the tibia. Synthes products supplied in a nonsterile condition must be cleaned and. The titanium tibial nail system royal childrens hospital. Huggins attended the november 15, 2001 synthes stratec spine. Suprapatellar instrumentation for expert tibial nail tfn titanium trochanteric fixation nail system tfna proximal femoral nailing system. Titanium cannulated tibial nail expert nailing system. Two different fe models of nail were developed in order to carry on a mechanical comparison between an innovative design of nail for fractures occurring on long bones and a traditional intramedullary nail expert tibial nail depuy synthes \\textregistered \. The use of a cannulated expert tibial nail with a large. The patients are both male 59 years with right ankle deformity 9 months prior to admission and history of trauma and 40 years old with history of type 2 diabetes mellitus. The cannulated tibial nail ctn is intended to stabilize fractures of the tibia.
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