Hip fractures are the bony injuries that require surgical intervention in the united states most frequently. Novel, low cost, and successful use of industrial instruments for. The criteria for the assessment of efficiency of surgical technique included. Use of the russelltaylor reconstruction nail in femoral. The russell taylor reconstruction nail has been the most widely used nail and has shown excellent results in acute and pathologic subtrochanteric fractures and ipsilateral femoral neck and shaft fractures.
Russelltaylor deltatibial interlocking nail technique. A novel ultrasoundguided shoulder arthroscopic surgery. Interlocking nail is an established treatment option for comminuted and complex femoral fractures. Radiation exposure to surgeon and patient in intramedullary nailing. Lengthening of the femur with a remotecontrolled magnetic. Pfna nail surgical technique animation created by kems studio. This method of nailing represents a modification of the previously described procedure in which an extraarticular entry portal in the medial femoral condyle was used. In part i of the study, two constructs, a statically locked twelvemillimeterdiameter russell taylor femoral nail with two distal locking screws rt2 and a statically locked twelvemillimeter.
Studies were the proximal femoral nail pfn were used cited high intraoperative and postoperative complications. Apr 02, 2020 bose and colleagues reported on the use of the russell taylor reconstruction nail in five ipsilateral femoral neckshaft fractures. A novel minimally invasive technique for removal of a bent femoral. Bose and colleagues reported on the use of the russell taylor reconstruction nail in five ipsilateral femoral neckshaft fractures. Complex proximal femoral fractures in the elderly managed by. Russell taylor deltatibial interlocking nail technique free download as pdf file. Surgical technique phoenixtm tibial nail system featuring corelocktm technology each nail features corelocktm technology, a preassembled, embedded locking mechanism for locking all proximal oblique screws, which can also be used to internally mechanically compress up to 5mm for a variety of tibial fractures. Intramedullary fixation techniques offer the advantages of closed reduction and. Orthopedics abstracttwentyseven ipsilateral femoral neck and shaft fractures were treated with the russelltaylor reconstructive nail. Knee pain and leglength discrepancy after retrograde femoral nailing article pdf available in american journal of orthopedics belle mead, n. Russell taylor reconstructiondelta reconstruction nail system surgical technique thomas a russell, m. Stabilizing subtrochanteric femoral fractures with an. Please check the sterility of each device on the product label.
The treatment of difficult proximal femoral fractures with. In the 1990s, the issue of intramedullary vascularity was used to reconsider the advantages of reaming of the femur. A case is presented in which a 14mm russell taylor intramedullary nail, placed to secure a right femoral shaft fracture, was deformed 22 months postoperatively. T2 flexible nail is intended for the temporary stabilization of bone segments or fragments until bone consolidation has been achieved for upper and lower extremity fractures of pediatric patients. Specific indications include the fixation of middiaphyseal, proximal and distal fractures of the femur, tibia, fibula, humerus and forearm fractures. Treatment of ipsilateral femoral neck and shaft fractures. Phoenix antegrade femoral nail system surgical technique. To be successful when using the antegrade intramedullary nail technique for the treatment of femur fractures, besides having a good understanding of the anatomy of the proximal femur, one must know how to choose the proper entry point to introduce the nail. Open reduction and internal fixation of the hip clinical gate. Treatment of comminuted subtrochanteric femoral fractures in a. Orthopedics abstracttwentyseven ipsilateral femoral neck and shaft fractures were treated with the russell taylor reconstructive nail.
The pfn was also associated with high reoperation rates 10, 11. Besides the t2 femoral nail with a 3m radius of curvature, stryker offers also a 1. All patients with russell taylor type ia subtrochanteric fractures were treated with a conventional static interlocked intramedullary nail using the joystick technique. For antegrade nailing, the patient is placed in the free lateral position, and a small incision is made at the level of the fracture. Nail length, locking screw length and nail cap size may be determined. The nail design has been well proven in over 200 000 cases performed with the pfn. Use of the russell taylor reconstruction nail in femoral shaft fractures. Disclaimer this document is intended exclusively for experts in the field, i. Intramedullary nailing is probably the best method of treating long bone. See the detailed chart on the next page for the design specifications and size offerings. Dfn distal femoral nail surgical technique standard locking spiral blade locking 357. Proximal femoral nail right femur a live transmission from the ao course 1996 2. A case is presented in which a 14mm russell taylor intramedullary nail, placed to secure a right fe.
Nail extraction follows the previously described technique. Note as template magnification levels are set at 117%, all measurements are estimates of true size. Ipsilateral femoral neck and shaft fractures treated with russell. Surgical technique reconstruction nail, richards medical company, 1450 brooks road, memphis, tn 38116, usa. Delong wg, born ct, iannacone wm, bednar jm, guzmer p. The russell taylor reconstruction nail was found to be useful in a greater variety of fractures than those for which it was originally designed. Antegrade versus retrograde locked intramedullary nailing for. View of a study on surgical management of unstable. Description of standard antegrade and retrograde femoral nail technique used in conjunction with the freehand locking technique described technique antegrade femoral nailing. All implants of the t2 femoral nailing system are gundrilled and made of type ii anodized titanium alloy ti6al4v for enhanced biomechanical and biomedical performance. Piriformis fossa nail if using the piriformis fossa nail, the entry point is between the top of the femoral neck and bottom. Twenty eight patients had marchettivincenzi nails and the rest had russelltaylor nails. Of 242 patients with injuries treated by locked intramedullary nailing of the femur, 52 22 per cent were considered suitable for insertion of the reconstruction nail. Early experience with russell taylor interlocking femoral nail system.
Retrograde nailing of femoral fracture below a hip prosthesis. This surgical technique is written from the trochanteric antegrade nail tan perspective. Uniflex femoral nail surgical technique zimmer biomet. Rathjenconcomitant ipsilateral fractures of the hip and femur treated with interlocking nails. The femoral antegrade nail fan technique changes with respect to nail entry point and insertion technique. The russelltaylor reconstruction nail proved to be useful in the treatment of segmented and, in a lesser degree, pathological fractures.
Biomet is not responsible for selection of the appropriate surgical technique to be utilized for an individual patient. Russell taylor reconstructiondelta reconstruction nail system surgical technique. The russell taylor reconstruction nail proved to be useful in the treatment of segmented and, in a lesser degree, pathological fractures. Cephalomedullary nails in the treatment of highenergy proximal. The titanium cannulated lateral entry femoral recon nail.
Proximal femoral nail right femur a live transmission from. Lengthening of femur with remotecontrolled magnetic intramedullary nail. Surgical technique for the afn antegrade femoral nail afn surgical technique 11 p a determine nail insertion point and insert guide wire in the ap view, the nail insertion point is normally found on the tip or slightly lateral to the tip of the greater trochanter in the curved extension of the medullary cavity. T2 femur ar nailing system the t2 femoral nailing system offers a universal left and right nail in addition to an antegrade or retrograde approach that may reduce inventory. Review of the patients medical records reveal that she had been evaluated 3 months prior for right hip pain, and workup at that time was negative. Entry point trochanteric nail if using the trochanteric nail, the entry point is at the tip of the greater trochanter, in line with the femur on the lateral radiograph. Orthopedic trauma surgeon university orthopedics dr. Role of russell taylor delta reconstruction nail in the. Phoenix tibial nail system featuring corelocktm technology. To estimate nail length, place the template on the ap xray of. Technique for treatment of a bent russelltaylor femoral nail.
A case is presented in which a 14mm russell taylor intramedullary nail, placed to secure a right femoral shaft fracture, was deformed 22 months postoperatively by. Russelltaylor reconstructiondelta reconstruction nail. Orthofix supplies the centronail titanium universal femoral nail, locking screws and end caps in a sterile package, while the instruments are supplied nonsterile. The russelltaylor classification of subtrochanteric hip fracture.
To estimate nail diameter, place the template on the ap or lateral xray of the uninjured femur and measure the diameter of the medullary canal at the narrowest part that will contain the nail. A case is presented in which a 14mm russell taylor intramedullary nail, placed to secure. One patient developed a delayed union of the femoral neck and. Complex proximal femoral fractures in the elderly managed. Evolution of intramedullary nails linkedin slideshare. Pdf retrograde nailing of femoral fracture below a hip. How to remove a bent intramedullary nail inexpensively.
Pfn is a novel, recent intramedullary implant based on experience with the. Volume 5 issue 4 technique for treatment of a bent russell taylor. An improved surgical technique to treat femoral shaft. Twentyfour consecutive adult patients who sustained a femoral shaft angular or rotational deformity, with or without significant shortening, were treated with skeletal traction of the femoral condyle, transverse femoral osteotomy, realignment of the shaft axis with or without lengthening, stable reamed intramedullary nail stabilization, and corticocancellous bone grafting. The surgical technique with the russel taylor reconstruction nails has been known to be demanding with high postoperative complications. However, the surgical technique is demanding and there is a high incidence of postoperative complications in the patients over the age of sixty. Surgery was performed on a fracture table, in supine or lateral position. Surgical technique implant selection the trigen tan 71180884 and trigen fan 71180497 radiographic templates may be used to assist with preoperative implant selection.
Fractures were divided according to the location along the femoral shaft. Russell taylor delta reconstruction nail rtrn allows for the treatment of complex fractures of the femur by combining two sliding screws for stabilisation of the femoral neck with distal locking capabilities. Nov 02, 2018 his work reported a 98% healing with no malunions with the russell taylor femoral nail in a static locked configuration with 1% implant failure rate with immediate weight bearing. Intramedullary nailing is considered the gold standard technique for the. Proximal femoral nail right femur a live transmission from the ao course 1996 2 6 dec davos. The t2 im nailing platform offers a combination of innovation, simplicity and versatility that is designed to suit your various needs. Retrograde intramedullary nailing of fractures of the femoral shaft with use of a distal intercondylar intraarticular entry portal is a relatively new surgical technique. The surgeon who performs any implant procedure is responsible for determining and utilizing the appropriate technique for such procedure for each individual patient. Surgical techniques lengthening of the femur with a remotecontrolled magnetic intramedullary nail. Knee pain and leglength discrepancy after retrograde. The russelltaylor reconstruction nail has become a stan dard treatment device for. The russelltaylor reconstruction nail was found to be useful in a greater variety of fractures than those for which it was originally designed. Technical aspects of the use of the russelltaylor reconstruction nail.
Us surgeons called the nail technique a daring operation and wondered how their. Common 5mm cortical screws simplify the surgical procedure and promote a minimally invasive approach. Femoral diaphyseal fractures are a significant global surgical burden 1. Ipsilateral femoral neck and shaft fractures treated with. Department of orthopaedic surgery and physical medicine, faculty of medicine, prince of songkla university, songkhla. To estimate the nail diameter, place the template on the lateral xray of the uninjured femur and measure the dia. Besides the t2 femoral nail with a 3m radius of curvature, stryker offers.
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