The newest generation nail, gamma3, is designed to facilitate minimally. The gamma3 locking nail system is based on more than 17 years of gamma nail experience. T2 recon nailing system with a tip of the greater trochanter entry point and both recon and antegrade femoral locking options, it offers an efficient treatment option for multiple indications. The gamma3 locking nail system is based on more than 15 years of gamma nail experience and is the third generation of intramedullary short and long gamma fixation nails. Improved lag screw positioning in the treatment of proximal femur. Each nail is supplied sterile packaged together with a set screw in one box. Trochanteric and long gamma nails as well as the asia pacific and japanese versions followed strictly a stepbystep. The evolution of the successful trochanteric and long gamma nails as well as the small stature versions followed strictly a step by step improvement based on the clinical. Gamma is a comprehensive intramedullary nailing system for the treatment of a wide range of proximal femur fractures as well as associated femoral shaft. The s2 nails are designed to meet the needs of level 1 trauma centers in the united states as well as broadening the stryker product line in the rest of the world.
It is firmly attached to the gamma 3 nail targeting device during surgery. The metallic stryker orthopaedics products the shell, bone screw, femoral stem, and head are considered mrconditional according to the terminology specified in the astm standard f250305, standard practice for markin medical devices and other items for safety in the magnetic resonance environment, and based on the testing described below. 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. Stryker has created a next generation locking nail system, bringing together all the capabilities and benefits of separate nailing systems to create a single, integrated surgical resource for fixation of long bone fractures. Stryker gamma3 and t2 intramedullary nailing 2010 surgeon. The third generation gamma nail is currently one of the most popular devices for the treatment of trochanteric fractures.
Gamma3 s trochanteric nail 170 hip fracture operative technique. Pfna nail surgical technique animation created by kems studio. Tad, tsd, fluoroscopy as well as procedure time and variability were assessed. Femoral head fractures intracapsular femoral neck fractures pertrochanteric fractures also referred to as intertrochanteric and peritrochanteric, which include. Magnetic intramedullary nails imns are fully implantable lengthening devices that became available in the united states in 2011 for the correction of limb length discrepancies. Stryker gamma nail to treat a hip intertrochanteric.
Pdf intertan nail versus gamma3 nail for intramedullary. The annual participation in the stryker training and education gamma and t2 nailing courses averages 200 surgeons per year. The strasbourg team has implanted over 5200 gamma3 nails. This evolution is based on the experience and clinical outcomes from surgeons all over the world. These courses are to offer training and education on the safe and effective use of aforementioned stryker products. Proximal femoral nail antirotation surgical technique depuy synthes 11 2 confirm nail length and diameter instrument 309. This is the third generation of intramedullary short and long gamma fixation nails. Stryker gamma3 and t2 intramedullary nailing gamma 3. The t2 im nailing platform offers a combination of innovation, simplicity and versatility that is. Gamma3 ublade lag screw system are made of titanium alloy ti6al4v fig. Gamma3 nail 180 the anatomical shape of the nail is universal for all indications involving. Trigen intertan vs stryker gamma3 summary initial stiffness of intertan construct almost 40% greater than gamma3 intertan femoral head rotation and varus collapse initially up to 84% lower than gamma3 after 140,000 cycles, interfragmentary movement on average 33% less on intertan when compared to gamma3.
Therefore, if no bone consolidation occurs or if consolidation is not sufficient, the system may break. The gamma3 plus targeting system is designed to facilitate gamma nail. This is the third generation of gamma intramedullary short and long fixation nails. The t2 im nailing platform offers a combination of innovation, simplicity and versatility that is designed to suit your various needs. The t2 recon nail is the realization of excellent biomechanical intramedullary stabilization for internal femoral fixation with several locking options to.
We present the first reported case of breakage of a third generation gamma nail that was not used to treat a pathological fracture. The evolution of the successful trochanteric and long gamma nails as well as the small stature versions followed strictly a. Intramedullary nailing of right femur fracture youtube. Gamma3 trochanteric nail 180 operative technique hip hip fracures. The aim of postoperative care must be to ensure the promotion of bone consolidation. Note as template magnification levels are set at 117%, all measurements are estimates of true size. They are designed for use with the gamma3 trochanteric fig. Cephalomedullary nailing of the proximal femur thomas a. This 3d medical animation features a dramatic surgical overview during the operative placement of an intramedullary nail into the right leg to secure a. Gamma3 trochanteric nail 180 cambridge orthopaedics. Stryker gamma3 and t2 intramedullary nailing 2011 surgeon course program surgery transmission and cadaver demonstration. The evolution of the successful trochanteric and long gamma nails as well as the small stature versions followed strictly a step by step improvement based on. The t2 tibial nailing system is the realization of superior biomechanical intramedullary stabilization. Tfn titanium trochanteric fixation nail system surgical technique depuy synthes 9 preoperative implant selection use the ao preoperative planner rulers for the titanium trochanteric fixation nail system to determine nail length, nail diameter, femoral neck angle and head element length.
Used with the t2 tibial nailing system, the spi instruments. This enhanced design will continue to offer both simplicity and efficiency while allowing you to achieve more with less. Anchorage, asnis, axsos 3, fixos, gamma, gamma3, plating that fits. To address the hip fracture segment, the company markets several products including the gamma nail a unique im nail for trochanteric fractures, the omega hip screw system, the. Magnetic intramedullary lengthening nails and mri compatibility charles gomez, md, scott nelson, md, joshua speirs, md, and samuel barnes, phd background. This is the third generation of gamma intramedullary short and long fixation. The gamma3 locking nail system was developed based on more than. Stryker gamma nail to treat a hip intertrochanteric fracture youtube. Gilbert taglang and his team perform live surgical interventions both mornings of the course, demonstrating the. Gamma3 im nail features and benefits the implant is made from titanium alloy which is friendlier to bone than steal alloys and fixation can avoid metal shielding effect. In the following, the trochanteric nail 180 is called.
The unique gamma3 ublade lag screw concept and its straight forward instrumentation enables quick insertion. The gamma3 locking nail system is based on more than 20 years of gamma nail experience. Stryker gamma nail to treat a hip intertrochanteric fracture. The t2 alpha femur antegrade gtpf nailing system introduces a hybridimplant concept, providing you with versatile locking configurations in a consolidated implant offering. Sridhar durbhakula narrates a surgical procedures using trochanteric gamma nail and compression hip screw for trochanteric fractures. Conical extraction rod extraction of nails using proximal nail end. Nail breakage is a rare complication, possibly resulting from fatigue fracture of the implant. There is only sparse data on clinical results and complications of the thirdgeneration gamma nailing system gamma3, stryker. Intertan nail versus gamma3 nail for intramedullary nailing of unstable trochanteric fractures. Gilbert taglang, multidisciplinary trauma surgeon, consultant designer of stryker s. Surgical technique implant selection the trigen tan 71180884 and trigen fan 71180497 radiographic templates may be used to assist with preoperative implant selection. Stryker corporation or its affiliates own, use, or have applied for the following trademarks or service marks. The head element should be centered in the ap and lateral.
The evolution of the successful trochanteric and long gamma nails as well as the asia pacific and japanese versions followed strictly a stepbystep enhancement based on the clinical experience of the clinical outcome from surgeons all over the world. Furthermore, the development of the t2 femoral nailing system offers the competitive advantages of. Failure of the stryker gamma 3 nailing system due to nail. Please contact your stryker representative if you have questions about the availability of stryker products in your area. Stryker has created a next generation locking nail system, bringing together all the capabilities and benefits of separate antegrade and retrograde nailing systems to create a single, integrated surgical resource for fixation of longbone fractures. Company op tech introduction the gamma3 locking nail system is based on more than 16 years of gamma nail experience. While still allowing a less invasive surgical technique, the distal targeting system may improve or effi ciency for gamma3 long nail and t2 recon nail surgeries.
Nail length, locking screw length and nail cap size may be determined. Titanium trochanteric fixation nail system surgical technique depuy synthes companies 11 open proximal femur. The gamma nail is designed for temporary implantation until the bone consolidation occurs. Therefore, we started a large multicentre case series in 2008. Consult stryker s entire gamma3 ublade lag screw catalogue on medicalexpo. Gamma3 long nail is intended for fixation of stable and unstable femoral fractures occurring from the base of the femoral neck extending distally to a point approximately 10cm proximal to the intracondylar notch including fractures of the basilar neck, intertrochanteric fractures, peritrochanteric fractures, subtrochanteric fractures and femoral shaft fractures. The gamma3 locking nail system was developed based on more than 20 years of gamma nail experience. Gamma3 nail 180 all nails use the same lag screws, set screw, distal locking screws and end caps see fig.
Pdf fixation of trochanteric hip fractures using the gamma nail has been performed since 1988 and is today well. The gamma3 lockin was developed based o 15 years of gamma n this is the third gener intramedullary short nails. Treatment of trochanteric fractures with the gamma3 nail. The aim of this paper is to present the study design and early. Russell definition fractures of the proximal femur are usually grouped into four major types reflecting differences in the anatomic and physiologic character of these regions. It offers guidance that you should heed, but, as with any such technical. Stryker continues to build on its history of innovation with the introduction of the t2 tibia suprapatellar instrument spi system. Gamma3 rc lag screw set assembled and spreaded gamma3 rc lag screw set features a combination of a standard gamma lag screw and a spreading uclip.