A bone nail which permits leftright orientation by means of crisscross nail holes is shown by enter u. Nail length, locking screw length and nail cap size may be determined. A lateral longitudinal femoral osteotomy was used for the resection of the distorted nail. The russelltaylor reconstruction nail has become a stan dard treatment device for. The technique described herein is made available to the healthcare professional to illustrate the authors suggested treatment for the uncomplicated procedure. With improvements in nail design and surgical technique the indications for nailing have been extended to include more complex fractures.
A case is presented in which a 14mm russelltaylor intramedullary nail. Technique for treatment of a bent russelltaylor femoral nail. Russell taylor reconstructiondelta reconstruction nail system surgical technique thomas a russell, m. This case report describes the mechanical failure of a femoral lengthening nail in order to allow early recognition and prevent its occurrence. The nail and its instrumentation are, however, quite complex. The surgeon who performs any implant procedure is responsible for determining and utilizing the appropriate technique for such procedure for each individual patient. The russell taylor reconstruction nail was found to be useful in a greater variety of fractures than those for which it was originally designed. Biomet is not responsible for selection of the appropriate surgical technique to be utilized for an individual patient. Please check the sterility of each device on the product label. Use of jumbo cutter for removal of a bent femoral interlocking nail. These publications reflect the breadth of research from the limb lengthening and complex reconstruction service at hospital for special surgery. The surgical technique with the russel taylor reconstruction nails has been known to be demanding with high postoperative complications.
Do pfna devices and intertan nails both have the same effects the intertan nail provided significantly more compression, assessed by measuring the postcompression gap, than did the pfna device implant positioning and surgical technique also play major roles in the success of trochanteric fracture treatment, russell taylor femoral nail technique nail technician. Surgical outcomes of subtrochanteric fractures of femur. The surgeon must check that the package has not been damaged and has not expired. The nail was straightened in situ, removed, and replaced with a larger nail.
Russelltaylor reconstructiondelta reconstruction nail. Zimmer natural nail system is a system of intramedullary im nails, screws, instruments and other associated implants that are designed to provide stable internal fixation for. 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 subsequent trauma. Pfna nail surgical technique animation created by kems studio. The nail design has been well proven in over 200 000 cases performed with the pfn.
Aug 27, 1996 the femoral neck nail of the kuntscher device, which is angled toward the femoral neck is locked into place by the intramedullary rod. Cephalomedullary nails in the treatment of highenergy proximal. Born is currently the intrepid heroes professor of orthopaedic surgery at the warren alpert medical school of brown university and the emeritus director of orthopaedic trauma at the rhode island hospital. Use of the russelltaylor reconstruction nail in femoral. Feb 12, 2014 pfna nail surgical technique animation created by kems studio. In this paper, we present the management of a 40yearold man presented with a bent intramedullary nail due to secondary trauma. Health, general femur analysis fractures care and treatment fractures injuries internal fixation usage internal fixation in fractures.
An improved surgical technique to treat femoral shaft malunion. Retrograde entry portal for femoral interlocking nailing in. Russelltaylor deltatibial interlocking nail technique free download as pdf file. Surgical technique reconstruction nail, richards medical company, 1450 brooks road, memphis, tn 38116, usa. Lengthening of the femur with a remotecontrolled magnetic. Pdf retrograde nailing of femoral fracture below a hip. The operative techniques recommended by russell and taylor are an excellent basis for firsttime users of this device russell et al. The femur subsequently healed without complication. Report by journal of evolution of medical and dental sciences. Is augmentation a possible salvage procedure after lateral migration of the proximal femur nail. Trigen im nail system surgical technique knee nail for retrograde femoral mode nota bene. Orthopedics abstracttwentyseven ipsilateral femoral neck and shaft fractures were treated with the russell taylor reconstructive nail. 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. Besides the t2 femoral nail with a 3m radius of curvature, stryker offers also a 1.
Description of standard antegrade and retrograde femoral nail technique used in conjunction with the freehand locking technique described technique antegrade femoral nailing. The russell taylor reconstruction nail is also being used satisfactorily for the fixation in complex and unstable proximal femoral injuries, but we have no experience with the usage of. Surgical outcomes of subtrochanteric fractures of femur treated with proximal femoral nail pfn. Implant failure was seen in seven of the 19 patients treated with the 95 degree screw plate and whereas only1 patient in intramedullary nail group had a failure. Complex proximal femoral fractures in the elderly managed by. 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. Comparative study of the proximal femoral nail antirotation versus the. Russelltaylor deltatibial interlocking nail technique.
Surgical technique phoenix retrograde femoral nail system featuring corelock technology each nail features corelocktm technology, a preassembled embedded locking mechanism that allows four distal screws to be mechanically locked to provide enhanced distal femoral fixation distal screws can be removed without disengaging the. For antegrade nailing, the patient is placed in the free lateral position, and a small incision is made at the level of the fracture. Russelltaylor deltatibial interlocking nail technique anatomical. Ipsilateral femoral neck and shaft fractures treated with. Use of the russell taylor reconstruction nail in femoral shaft fractures. Treatment of comminuted subtrochanteric femoral fractures in a. One patient developed a delayed union of the femoral neck and. Technical aspects of the use of the russelltaylor reconstruction nail. Note as template magnification levels are set at 117%, all measurements are estimates of true size. Russell taylor deltatibial interlocking nail technique free download as pdf file. Phoenix retrograde femoral nail system featuring corelocktm. A femoral lengthening nail was used to achieve goal distraction length over eight weeks and sustained a mechanical failure during progressive weightbearing. Rathjenconcomitant ipsilateral fractures of the hip and femur treated with interlocking nails. Bose and colleagues reported on the use of the russell taylor reconstruction nail in five ipsilateral femoral neckshaft fractures.
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. Orthopedics abstracttwentyseven ipsilateral femoral neck and shaft fractures were treated with the russelltaylor reconstructive nail. Wu 1 archives of orthopaedic and trauma surgery volume 121, pages 265 270 2001 cite this article. Orthofix supplies the centronail titanium universal femoral nail, locking screws and end caps in a sterile package, while the instruments are supplied nonsterile. An improved surgical technique to treat femoral shaft. Surgery was performed on a fracture table, in supine or lateral position. Studies were the proximal femoral nail pfn were used cited high intraoperative and postoperative complications. Division of orthopedic trauma professor of orthopaedic surgery fellowshiptrained orthopedic surgeon. Redistraction was attempted with subsequent nonweightbearing status. Solid and cannulated nails technique guide synthes synthes on. Cement augmentation has been used to stabilize intramedullary nailing.
Research is an integral part of the innovation and advancement of our specialty. Sub trochanteric fractures in adults are included, fractures. The piriformis fossa is the ideal portal of entry for antegrade interlocking nailing. A secondary highvelocity trauma to a previously stabilized femoral fracture with intramedullary nailing is rare. Proximal femoral nail in reverse trochanteric femoral. This study was conducted with due emphasis for clinical observation and analysis of results after surgical management of subtrochanteric fractures of femur with proximal femoral nail. Ipsilateral femoral neck and shaft fractures treated with russell. Jumbo cutter for removal of a bent femoral interlocking nail. Intertan nail surgical technique surgical tech classes. Titanium alloy egtrigen nail, universal femoral nail nails with multiple curves,multiple. Surgical technique implant selection the trigen tan 71180884 and trigen fan 71180497 radiographic templates may be used to assist with preoperative implant selection. Intramedullary fixation techniques offer the advantages of closed reduction and.
Egrussel taylor nail, delta nail 3rd generation fit anatomically as much as possible. Surgical procedure the entire cadaver was placed on a radiolucent table. Complex proximal femoral fractures in the elderly managed. Russell taylor deltatibial interlocking nail technique 598 kb recon interlocking nail technique 551 kb im supracondylar nail technique 669 kb imhs technique 714 kb imhs cp technique. To estimate the nail diameter, place the template on the lateral xray of the uninjured femur and measure the dia. Management of subtrochanteric fractures of femur with. Nail extraction follows the previously described technique.
The russelltaylor classification of subtrochanteric hip fracture. See the detailed chart on the next page for the design specifications and size offerings. A case is presented in which a 14mm russelltaylor intramedullary nail, placed to secure a right femoral shaft fracture, was deformed 22 months postoperatively by subsequent trauma. Retrograde nailing of femoral fracture below a hip prosthesis. Russell taylor reconstructiondelta reconstruction nail system surgical technique. Thus, the kuntscher y nail is also not indicated for femoral neck fractures. This prospective comparative study was designed to compare an innovative way to obtain the ideal portal from inside the medullary canal in cases of plate failure and compare it to the classic antegrade portal. The centronail titanium universal femoral nailing system. Cement augmentation of intertrochanteric fractures stabilisedwith. Localizing this portal can be difficult and its eccentricity leads to complications.
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