From january 2006 to december 2008 we conducted a prospective singlecenter study including 84 consecutive patients with pertrochanteric femoral fractures treated with either a gamma 3 nail gn strykerhowmedica, rutherford, nj the latest evolution of gamma device or a long gamma 3 nail lgn dyax. Internal fixation is an operation in orthopedics that involves the surgical implementation of implants. Furthermore, the development of the t2 femoral nailing system offers the competitive advantages of. A comparison of the long gamma nail with the sliding hip. Gamma3 trochanteric nail 180 stryker pdf catalogs technical. Long gamma nail versus short gamma nail in the treatment of. Short versus long intramedullary nails for the treatment of. Patients were treated with one of the following four cmn. However, it was easy to reduce the displaced femoral neck fracture with compression of the interlocking lag screw figure 1. Short versus long cephalomedullary nailing for the. Quality of life after pertrochanteric femoral fractures.
This enhanced design will continue to offer both simplicity and efficiency while allowing you to achieve more with less. Accolade ii femoral hip system surgical technique previously lsp76 hipaccolade ii. The second generation, the long trochanteric gamma nail ltgn, was introduced in 1997 with modifications of standard proximal diameter of 17 mm, distal diameter of 11. Pdf short versus long intramedullary nails for treatment. G3in7 the gamma3 ublade lag screw may be used with either the gamma3 trochanteric nail or the long length gamma3 nail to treat patients with highly osteoporotic bone or metastatic. Therefore we performed a case control study between the long gamma3 nail lg3n and the long trochanteric gamma nail ltgn to assess if. The evolution of the successful trochanteric and long gamma nails as well as the asia pacific and japanese versions followed strictly a stepbystep. The long gamma locking femoral cephalomedullary nail stryker trauma, geneva, switzerland was introduced in 1993. Short gamma nail pdf 15 years of gamma nail experience. The gamma3 locking nail system is based on more than 15 years of gamma nail experience.
Trochanteric and long gamma nails as well as the small stature versions followed strictly a step by. The use of the long gamma nail in proximal femoral fractures injury. Pdf a comparison of ublade gamma3 and gamma3 nails used. Short versus long intramedullary nails for treatment of intertrochanteric femur fractures ota 31a1,a2 article pdf available in journal of orthopaedic trauma 285. Apr 15, 2015 in contrast, the long nail is suitable for almost all types of intertrochanteric fractures. She underwent surgical treatment using a short gamma 3 nail stryker, tokyo. Cephalomedullary nails are most commonly indicated in extracapsular peritrochanteric and subtrochanteric fractures. G3in7 the gamma3 ublade lag screw may be used with either the gamma3 trochanteric nail or the long length gamma3 nail to. Subtrochanteric femoral fractures treated with the long. Short versus long intramedullary nails for the treatment. The objective of this study was to evaluate the clinical outcome of traumatic subtrochanteric fractures fixed with pfn or long gamma nail with particular emphasis on our experience with.
Intramedullary fixation of subtrochanteric fractures with. The purpose of this metaanalysis was to compare the costeffectiveness of. When compared with the long gamma nail, the sliding hip screw should remain the gold standard for the treatment of aoota 31a2 fractures of the proximal part of the femur because it is associated with similar outcomes with less expense. The long gamma nail has been shown to reduce the incidence of. Long versus short cephalomedullary nail for trochanteric. Long gamma3 nail with cross screw for ipsilateral femoral neck 14775 int j clin exp med 2016. To facilitate conformity with the human anatomy, the long nail is supplied in a left and right version. 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. Results of its precursor, the standard gamma nail have previously been documented, 11 however, the long gamma nail lgn exhibits different mechanical characteristics and has different indications, therefore it should be considered as a different implant. Case report long gamma3 compressing interlocking nails with a. In these cases, uclip failure makes it difficult to remove the failed lag screw by the normal method i. Stryker trauma, 33250420s, stryker long nail kit, r2. The implant is made from titanium alloy which is friendlier to bone than steal alloys and fixation can avoid metal shielding. Lebel e department of orthopaedic surgery shaare zedek medical center jerusalem the ioa meeting dec.
This is the third generation of intramedullary short and long gamma. Company op tech introduction the gamma3 locking nail system is based on more than 16 years of gamma nail experience. The long gamma nail lgn was introduced in 1992 howmedica osteonics, rutherford, usa and was used for subtrochanteric and combined trochantericdiaphyseal fractures of the femur with good results. Gamma3 ublade lag screw protrudes through the lateral femoral cortex. The gamma3 locking nail system is based on more than 20 years of gamma nail experience. First generation gamma nails have been complicated by fractures at the tip of the nail. This is the third generation of intramedullary short and long gamma fixation nails. This is the third generation of gamma intramedullary short and long. Gamma 3 short stryker, kalamazoo, mi, gamma 2 and 3 long nails stryker, or synthes trocanteric fixation nail short or long nail synthes, paoli, pa.
During this period, modifications of design and instrumentation have occurred to combat the intra and postoperative complications that were associated with the use of early designs. The t2 alpha femur antegrade gtpf nailing system introduces a hybridimplant concept, providing you with versatile locking configurations in a consolidated implant offering. This is the third generation of gamma intramedullary short and long fixation nails. Radiolucent targeting arms with easy assembly and friction lock technology.
Failure of a rotation control gamma 3 lag screw used to. Stronger nail in fatigue means it can withstand a potentially higher load for a longer. 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. See instructions to authors for a complete description. The objective of this study was to evaluate the clinical outcome of traumatic subtrochanteric fractures fixed with pfn or long gamma nail with particular emphasis on our experience with the surgical techniques. Early studies, including the work of greenspan et al, showed improved outcomes in terms of refracture when comparing long gamma nails to first. The three neckshaft angles accommodate variations in femoral neck anatomy. The goal of this study was to compare the results of proximal femoral nail antirotation pfna. The disassembled gamma3 uscrew without gamma3 ublade and gamma3 end cap is 4 mm shorter than the regular gamma3 lag screw. Short versus long cephalomedullary nails for fixation of stable versus unstable intertrochanteric femur fractures at a level 1 trauma center. Gamma is a comprehensive intramedullary nailing system for the treatment of a wide. The t2 nailing platform is designed to treat a wide range of fractures in the upper and lower extremities.
The solid nail design of the short nail 150mm should. Short versus long cephalomedullary nailing for the treatment. The third generation gamma nail is currently one of the most popular. Gamma3 nail long this nail incorporates several important mechanical design features. Gamma nail is a cephalomedullary implant that was developed for the treatment of pertrochanteric hip fractures and has been successfully used for over 20 years. Bisbinas 424 military general hospital, peripheriaki odos efkarpias, pc 56429, thessaloniki, hellas, greece a r t i c l e i n f o article history. The nail may be used for percutanous reduction and insertion, or open insertion through a deltopectoral approach when indicated. Gamma3 trochanteric nail 180 cambridge orthopaedics. Synthes, oberdorf, switzerland fixation with those of gamma nail 3 gn3. The evolution of the successful trochanteric and long gamma nails as well as the small stature versions followed strictly a stepbystep improvement based on the clinical experience of the clinical outcome from surgeons all over the world. The stryker gamma locking nail system is based on more than 15 years of gamma nail. Dedicated implants for piriformis fossa or greater.
Position the carm for an ap view of the proximal femur. Pdf short versus long intramedullary nails for treatment of. Stryker also produces beds that are designed to fit the unique needs of specialty departments within the acute care environment. This is the third generation of intramedullary short. Nevertheless, they offer the same biomechanical strength and cutout resistance as the well established trochanteric and long gamma nails. The long gamma nail has a lengthened arm, so as to increase its stability which has advantages especially in elderly intertrochanteric fracture with severe osteoporosis or severe comminuted fracture. 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. Failure of the stryker gamma 3 nailing system due to nail. The evolution of the successful trochanteric and long gamma nails as well as the asia paci. The long gamma nail was developed to end in the metaphyseal region of the distal femur, therefore bypassing the diaphyseal stress riser. Proximal femoral nail antirotation surgical technique depuy synthes 11 2 confirm nail length and diameter instrument 309.
This will ensure rotational stability in the nail axis and allows the gamma3 ublade lag screw to slide laterally. The gamma3 locking nail system was developed based on more than 15 years of gamma nail experience. Cephalomedullary nailing is the surgical stabilization of the fracture with an intramedullary device usually inserted through the piriformis fossa, the tip or lateral greater trochanter, or the medial greater trochanter. Type ii annodization allows for enhanced fatigue strength 1. The nail is unslotted and cannulated for guidewirecontrolled insertion. Apr 19, 2016 in total, 1179 patients, with 438 short and 838 long cmn, were included.
Gamma3 long nail is intended for fixation of stable and unstable femoral. An orthopedic implant is a medical device manufactured to replace a missing joint or bone or to support a damaged bone. The short gamma nail stryker, mahwah, nj is a commonly used device for the treatment of stable intertrochanteric hip fractures. May 15, 2017 stryker continues to build on its history of innovation with the introduction of the t2 tibia suprapatellar instrument spi system. 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 use of the long gamma nail in proximal femoral fractures. The medical implant is mainly fabricated using stainless steel and titanium alloys for strength and the plastic coating that is done on it acts as an artificial cartilage. Pdf a comparison of ublade gamma3 and gamma3 nails.
We are a liquidator of sutures and other surgical items from ethicon, covidien autosuture, synthes, stryker, arthrex and are able to pass our savings on to you. Short versus long cephalomedullary nails for fixation of. 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. 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 long bone fractures. The evolution of the successful trochanteric and long gamma nails as, well as the asia pacific and japanese versions, followed incremental enhancements based on the clinical experience of surgeons from around the world. Long gamma nail versus short gamma nail in the treatment. Operative technique indications the gamma3 ublade lag screw may be used with either the gamma3 trochanteric nail or the long length gamma3 nail to treat patients with highly osteoporotic bone or metastatic disease in the femoral head, short femoral headneck fragments, or unstable intertrochanteric fractures with missing medialcaudal bone support. Stryker medical is a leader in the specialty stretcher products segment, offering more than 30 different types of stretchers customized to fit the needs of acute care and specialty surgical care facilities. Gamma3 im nail stryker distal radius mua osteomyelitis gamma3 im nail stryker. Used with the t2 tibial nailing system, the spi instruments.
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