Case report open access implantation of intertan nail in. Apolymer clear this is a 100% transparent powder and very suitable to create a natural effect on a beautiful nail. One implant, two approaches stryker has created a next generation locking nail. After the uk locations were sold to carphone warehouse in 1999 and the australian. Learning curve and clinical outcomes of performing surgery. Meet icecream pdf editor intuitive free pdf editor for windows that enables you to create and edit pdf files. The incidence of cutout and femoral shaft fracture were significantly higher in the gamma3 nail group than the intertan nail group p 0.
The aim of our study was to assess whether use of the trigen intertan nail, as compared with a sliding hip screw, resulted in less postoperative pain, improved functional mobility, and reduced. Mahwah, nj and intertan smith and nephew, memphis, tn. You can edit text and objects, add notes, manage pages, merge pdfs, protect files, and much more with the pdf editor. Note if inserting a long intertan nail, leave the channel reamer in place.
Note as template magnification levels are set at 117%, all measurements are estimates of true size. Intertan nail versus proximal femoral nail antirotation. The results of this study have shown that the nail with two adjacent lag screws provides slightly better fixation properties preventing varus collapse than the nail with two separate lag screws. Comparison of clinical outcomes with intertan vs gamma nail or. Comparing the intramedullary nail and extramedullary. Intertan nail versus gamma3 nail for intramedullary nailing of unstable trochanteric fractures dankai wu, guangkai ren, chuangang peng, xuanlin zheng, fengmin mao, and yueyang. Comparison of statically locked proximal lag screws in cephalomedullary nail systems. Reordering pages in the editor can be done by dragging the thumbnails of pages around in the thumbnails pane, similar to the method used with the pdf. Followup occurred 1, 3, 6, and 12 months postoperatively and every year thereafter. This article highlights pearls shared during a unique and enlightening lecture by antonella tosti, md, a professor at the university of miami health system, florida, on the presentation and management of common pediatric nail diseases. We concluded that intertan nail is a good implant for the treatment of peritrochanteric fractures of femur. How do i enabledisable tab thumbnails in pdf xchange viewer answer.
How to add and organize pages in a pdf adobe acrobat dc. Intertan nail applied in this study is a solid titanium nail. Template set 71674200 may be used to assist with preoperative implant selection. We conducted this study to compare the outcomes of unstable trochanteric fractures treated with the intertan nail and gamma3 nail. Intertan nail made a difference in varus collapse of the neck but not in neck shortening. A randomized prospective comparison of intertan and gamma3 for treating unstable intertrochanteric fractures hao su1,2, kang sun1, xin wang2. Radiographs were obtained at 1, 3, 6, and 12 months followup, and all implant. Intertan nails designed for stability the trigen intertan nail was designed as a trochanteric portal intramedullary nail especially shaped for fractures of the proximal femur. Knowledge base pdf creation software, free pdf editor. Pdf implantation of intertan nail in four patients with. The objective of this metaanalysis was to compare the fixation outcome of the gamma nail and dynamic hip screw dhs in treating peritrochanteric fractures. Patients treated with the intertan nail experienced longer fluoroscopy and operative times. Acrylic nail course level 1 dasy design international. Treatment options for unstable intertrochanteric fractures include intramedullary nail and extramedullary fixation, although evidence regarding the most appropriate treatment for such fractures.
These clinical pearls are shared to help deliver utmost care to our pediatric patients presenting with nail. Trochanteric fractures tf have become a major source of morbidity and mortality in elderly. Learn how to add, replace, rotate, delete, and move pages in a pdf using adobe acrobat dc. It shows less implant cutout rate and femoral fractures when compared with control groups. Trigen intertan hip fracture intramedullary nail bmt. To compare the longterm functional and radiographic outcomes of the proximal femoral nail antirotationasia pfnaii and intertan nail it in the management of intertrochanteric. The intertan system offers anatomically shaped trapezoidal implants as opposed to conventional circular shaped intramedullary nails. Among these, intertan nail is suggested to be the optimal device for the fixation of intertrochanteric femoral fractures since it is more stable, showed lesser complications and better performance when compared to other intramedullary nails.
Intertan nail versus proximal femoral nail antirotationasia for. Pdf incidence of peritrochanteric fractures has increased significantly during recent. In a prospective, randomized multicenter study, 684 elderly patients were treated with the intertan nail or. Comparison of clinical outcomes with intertan vs gamma. We report four cases with intraoperative difficulties during the implantation of intertan nails. Trigen intertan intramedullary nail versus sliding hip screw. We retrospectively analyzed data from 53 patients who underwent surgery using an intertan intramedullary nail. Our metaanalysis suggests that a twin screw integrated cephalomedullary nail intertan is clinically more effective when compared to a single screw cephalomedullary nail proximal femoral nail. The original short trigen intertan nail and the captured locking screw were removed arrow. The results of this study have shown that the nail with two adjacent lag screws provides slightly better fixation properties preventing varus collapse than the nail. A retrospective analysis of the intertan nail and proximal femoral. Intertan, pfna and gamma3 are new generation devices, reported to be some of the best devices according to current studies. Trigen intertan nail provides all the benefits of a traditional antegrade.
A retrospective analysis of the intertan nail and proximal. Patients treated with intertan nail were pairmatched to patients treated with gamma3 nail in a 1. Pre and postfatigue static locking testing was performed on nails with a deg caput. The trigen intertan nail was compared to single lag screw and helical blade devices in a sommers cut out test protocol of 100,000 cycles. We report four cases with intraoperative difficulties during the implantation of intertan nails among han chinese patients from mainland.
Pdf trigen intertan intramedullary nail versus sliding. Comparison of statically locked proximal lag screws in. Research open access intertan nail versus gamma3 nail. The it nail may have more advantage for patients with unstable intertrochanteric fractures of the femur. The intertan nail it, using an integrated 2screw system, provide increased stability and resistance to femoral head rotation and decrease cutout rate when compared with the conventional intramedullary nails such as pfna and gamma nails. Rotationally stable fixation for intertrochanteric hip. The purpose of this study is to evaluate the learning curve of performing surgery with the intertan intramedullary nail in treating femoral intertrochanteric fractures, to provide valuable information and experience for surgeons who decide to learn a new procedure. The results revealed that intertan has better resistance to occur varus collapse and the same prevention for neck shortening. The trigen intertan nail preoperative template set 71674200 may be used to assist with preoperative implant selection. Pdf comparision of pfn and intertan nail for unstable.
With the unique integrated, interlocking screw constructs, the trigen intertan nail provides all the benefits of a traditional surgical approach for the antegrade intramedullary nail. Intraoperative technical complications are occasionally. Surgeons need to pay attention to the difficulties they may encounter during the implantation of an intertan nail. However, the efficacy of both nails over a longer time period has been less well studied in elderly patients with osteoporosis thin or brittle bones. The t2 femoral nailing system is one of the first femoral nailing systems to offer an option for either an antegrade or a retrograde approach to repair fractures of the femur.
Pdf clinical outcome of peritrochanteric fractures. Intertan nail versus gamma3 nail for intramedullary. In this irb approved retrospective study, consecutive patients with peritrochanteric hip fractures were treated with an intertan a fourth generation proximal hip nail im nail. Learning curve and clinical outcomes of performing surgery with. Note in the instance of hard bone, it may be necessary to use the 17mm channel reamer. During the healing period, the rates of reverse displacement of the proximal screw, shortening of the proximal femur, and decrease in the varus angle of the proximal femur were significantly higher in the pfna group than in the intertan. I would like to reorder the pages in my document with the pdf xchange editor. Intertan nails, which are recommended by the manufacturer and have been described in earlier studies. All measurements must be verified intraoperatively. Original article a randomized prospective comparison of.
Research open access intertan nail versus gamma3 nail for intramedullary nailing of unstable trochanteric fractures dankai wu, guangkai ren, chuangang peng, xuanlin zheng, fengmin mao and. Nail size, screw length and femoral neck angle may be determined. Intertan was created by tandy corporation in 1986 to operate radio shack stores in canada, europe and australia. Implant design is the one of major factors that may affect the results. Click show tabs thumbnails to enabledisable tab thumbnails. Implantation of intertan nail in four patients with. Surgical technique implant selection the trigen intertan nail preoperative template set 71674200 may be used to assist with preoperative implant selection. Trigen intertan intramedullary nail versus sliding hip screw a prospective, randomized multicenter study on pain, function, and complications in 684 patients with an intertrochanteric or subtrochanteric fracture and one year of followup kjell matre, md, tarjei vinje, md, leif ivar havelin, md, phd, janerik gjertsen, md, phd, ove furnes, md, phd. Intertan im nail versus sliding hip screw in geriatric. In case 2, due to fat obstruction, an intertan nail was implanted at. Pdf comparative study between intertan and trochanteric. Please note that this feature is not present in pdf xchange editor. Comparison of a twin interlocking derotation and compression screw cephalomedullary nail intertan with a single screw derotation. Advanced nail design the nail design offers great flexibility one system for retrograde and antegrade technique one system for left and right femur anatomic bend for ease in insertion and extraction cannulation of all nails.
Intertan im nail versus sliding hip screw in geriatric fractures the safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Apolymer pink this is a transparent pink powder and used to apply on the pink part of the nail plate. Intraoperative technical complications are occasionally encountered while implanting intertan nails for intertrochanteric fractures. Pdf comparison of intertan nail vs proximal femoral nail in. Between january 2008 and may 20, patients aged 60 years or older with a.
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