It is always important to range the hip after surgery with fluoroscopy to ensure no inoutin. These nails have been designed for specific applications to help restore the shape of the fractured bone to. The surgical technique is identical to that of a sideplate in terms of fracture reduction, and lag screw location and insertion. Surgical management of proximal femoral fractures by proximal. Nail surgery is a precise technique that requires careful administration and attention to details. The technique description herein is made available to the healthcare professional to illustrate the. The technique description herein is made available to the healthcare professional to illustrate. Intramedullary hip screw fixation for proximal femoral fractures. The authors evaluated five patients who presented pincer. Indications for imhs nailing were reverse oblique fractures, subtrochanteric fractures and type 5 evansjensen fractures. They are characterized by their anatomic shape, which is intended to replicate the natural anatomic shape of the various long bones in the human skeleton. Gamma3 nail 180 the anatomical shape of the nail is universal for all indications involving the treatment of trochanteric frac. Proper patient preparation starts with a patient history to identify potential contraindications. The new subtrochanteric lag screw provides more clinical options.
The role of surgical technique on postoperative pain has not been evaluated. Surgical technique of pfn insertion 4a nail entry point, 4b. The zimmer natural nail system is a next generation of intramedullary nails. Use watsonjones or modified smithpetersen approach. Comparing two intramedullary devices for treating trochanteric. The set screw is preloaded and cannulated to allow nail insertion over a ball tip guide rod, removing steps from the technique. Optimum surgical technique can minimize the risk of implantrelated. Gamma3 nail 180 all nails use the same lag screws, set screw, distal locking screws and end caps see fig. M50 business park, ballymount rd upper, ballymount, dublin 12, d12 fy26, ireland. Dynamic hip screw an overview sciencedirect topics. The affixus hip fracture nail system, comprised of short and long nails, provides surgeons with an intramedullary hip screw to stabilize fractures of the proximal. Everyday low prices and free delivery on eligible orders.
Among the surgical techniques, zooks technique differs from others, because it preserves the matrix and consequently the size of nail. Affixus hip fracture nail surgical technique zimmer biomet. The literature search resulted in numerous reports regarding intraoperative and postoperative complications and technical errors with intramedullary hip nailing for fractures. Surgical technique dhs continued 8 synthes dhsdcs dynamic hip and condylar screw system technique guide 3 confirm placement confirm placement of the 2. Intramedullary fracture fixation, femoral fractures and nails researchgate, the. Postoperative pain after hip fracture is procedure specific. Trochanteric stabilizing plate has performance similar to im devices. Trigen meta nail tibial nail system surgical technique. A text and atlas by edward krull md author, elvin g. Patient positioned with operative extremity adducted for intramedullary nailing. The long imhs has a distal diameter of 10 mm and 12 mm is available in lengths of 34 cm, 38 cm, and 42 cm.